Dinamap ProCare - Progressive Medical International

DINAMAP ®
ProCare Monitor
Operation Manual

Contents
Introduction
Reissues and Updates...................................................................................................................... 3
Errors and Omissions ....................................................................................................................... 3
Hierarchy of Warnings and Cautions........................................................................................... 4
About the DINAMAP ® ProCare Monitor .....................................................................................7
Product Compliance ......................................................................................................................10
Symbols ............................................................................................................................................11
Getting Started
Unpacking the Monitor and Accessories ..................................................................................15
Setting up BP Connections ...........................................................................................................15
Setting up SpO 2 Connections .....................................................................................................16
Setting up Temperature Connections ........................................................................................16
Setting up the Printer (Installing the Paper) ...............................................................................17
Power Sources..................................................................................................................................17
Powering the Monitor: Battery and DC Supply .......................................................................17
Replacing the Battery .....................................................................................................................19
Switching the Monitor On and Off ............................................................................................20
Setting the Date and Time ............................................................................................................20
Product Overview
Buttons ..............................................................................................................................................25
Front Panel ...................................................................................................................................... 27
Rear Panel ........................................................................................................................................29
Left-Side Panel .................................................................................................................................30
Right-Side Panel ..............................................................................................................................30
Windows.......................................................................................................................................... 31
Indicators ..........................................................................................................................................31
Operating Modes ...........................................................................................................................31
Entering Configuration Mode ...................................................................................31
Parameter Modes ...........................................................................................................................32
User Modes .................................................................................................................................... 32
Sounds ..............................................................................................................................................33
Power Sources ................................................................................................................................34
Specifications ...................................................................................................................................35
Mechanical ...................................................................................................................35
Power Requirements ................................................................................................. 35
Environmental ...............................................................................................................36
Printer
Description .......................................................................................................................................41
Installing the Paper .........................................................................................................................41
Print Button ......................................................................................................................................41
Printer Alarms ...................................................................................................................................42
Storage ............................................................................................................................................. 42
Alarms
Alarm Codes ....................................................................................................................................45
Adjusting Alarm Limits.................................................................................................................. 45
Alarms Button ..............................................................................................................45

Adjusting the Alarm Volume ....................................................................................................... 46
Silencing and Acknowledging an Alarm ....................................................................................46
Silence Button............................................................................................................. 46
Alarm Sounds ..................................................................................................................................46
Alarm Detection and Priorities ....................................................................................................47
Limit Alarms ..................................................................................................................47
Parameter Status Alarms ............................................................................................48
Printer Alarms ..............................................................................................................48
Battery Alarms ..............................................................................................................48
Memory Alarms ...........................................................................................................48
System Failure Alarms ................................................................................................48
Specifications ...................................................................................................................................49
Alarm Message Codes ...................................................................................................................50
History
Description...................................................................................................................................... 55
Buttons Associated with History .................................................................................................55
Erasing Stored History.................................................................................................55
Windows Associated with History...............................................................................................56
Indicators Associated with History ............................................................................................ 56
BP
Description...................................................................................................................................... 59
Buttons Associated with BP ..........................................................................................................62
Windows Associated with BP ......................................................................................................62
Indicators Associated with BP.......................................................................................................63
Parameter Modes ............................................................................................................................63
BP Modes of Operation ............................................................................................................... 64
Manual BP Determinations .......................................................................................64
Auto Cycle Determinations ......................................................................................64
STAT BP Determinations ...........................................................................................65
User Settings................................................................................................................................... 66
Mode Settings...............................................................................................................66
Limit Settings ............................................................................................................... 66
Neonate Settings.............................................................................................66
Menu Settings .................................................................................................................................67
Sounds Associated with B..............................................................................................................67
Procedures .......................................................................................................................................67
Cuff Connections ........................................................................................................69
Quick-Disconnect Air Hose ........................................................................ 69
Neonate Air Hose ..........................................................................................69
Alarms .............................................................................................................................................. 70
Critikon US Patents .....................................................................................................70
European US Patents ..................................................................................................70
Specifications ...................................................................................................................................71
Factory Default Settings .............................................................................................71
SpO 2
NELLCOR ® SpO 2 ............................................................................................................................75
Description .......................................................................................................................................75

Contents
Configuration Settings Associated with SpO 2 ..........................................................................77
Buttons Associated with SpO 2 .....................................................................................................78
Windows Associated with SpO 2 .................................................................................................78
Indicators Associated with SpO 2 ................................................................................................78
Parameter Modes ...........................................................................................................................78
User Settings ....................................................................................................................................79
Limit settings................................................................................................................ 79
Menu Settings .................................................................................................................................79
Sounds Associated with SpO 2......................................................................................................79
Procedures .......................................................................................................................................79
Alarms ...............................................................................................................................................81
Troubleshooting.......................................................................................................... 82
Specifications ...................................................................................................................................85
Measurement Range ..................................................................................................85
Accuracy and Motion Tolerance .............................................................................85
Saturation .........................................................................................................85
Pulse Rate ........................................................................................................85
NELLCOR ® Sensor Accuracy................................................................................... 85
OxiMAX........................................................................................................... 85
OxiCliq .............................................................................................................85
Reusable Sensor Models ...............................................................................86
Factory Default Settings..............................................................................................86
NELLCOR ® Patents .....................................................................................................86
Masimo Set ® SpO 2 ........................................................................................................................ 89
Description .......................................................................................................................................89
Configuration Settings Associated with SpO 2 ..........................................................................92
Buttons Associated with SpO 2 ....................................................................................................93
Windows Associated with SpO 2 .................................................................................................93
Indicators Associated with SpO 2 ................................................................................................93
Parameter Modes ...........................................................................................................................93
User Settings ....................................................................................................................................94
Limit settings ................................................................................................................94
Menu Settings .................................................................................................................................94
Sounds Associated with SpO 2.................................................................................................... 94
Procedures ........................................................................................................................................94
Alarms ...............................................................................................................................................96
Troubleshooting ..........................................................................................................97
Specifications ................................................................................................................................ 100
Measurement Range ............................................................................................... 100
Accuracy and Motion Tolerance .......................................................................... 100
Saturation ...................................................................................................... 100
Pulse Rate ..................................................................................................... 100
Masimo ® Sensor Accuracy ........................................................................ 101
Resolution ..................................................................................................... 101
Low Perfusion Performance....................................................................... 101
Interfering Substances............................................................................................. 101
Sensor Light Source ................................................................................................. 101
Factory Default Settings.......................................................................................... 102
Masimo ® Patents ...................................................................................................... 102

TURBOTEMP
Description .................................................................................................................................... 105
Predictive Mode ....................................................................................................... 105
Monitor Mode .......................................................................................................... 106
Configuration Settings Associated with Temperature .......................................................... 107
Buttons Associated with Temperature .................................................................................... 107
Windows Associated with Temperature ................................................................................ 107
Indicators Associated with Temperature ................................................................................. 107
Measurement in Progress Indicators ................................................................... 107
Predictive Mode .......................................................................................... 107
Measurement NOT in Progress Indicators ......................................................... 108
Parameter Modes ........................................................................................................................ 108
User Settings................................................................................................................................. 109
Menu Settings .............................................................................................................................. 109
Sounds Associated with TURBO´TEMP ............................................................................. 109
Procedures for Oral Predictive Mode Determinations ....................................................... 109
Procedures for Rectal Predictive Mode Determinations .................................................... 110
Procedures for Monitor Mode Determinations (Axillary Determinations) ..................... 110
Alarms ............................................................................................................................................ 113
Specifications ................................................................................................................................ 115
Factory Default Settings .......................................................................................... 115
IVAC ® Patents .............................................................................................................................. 115
Pulse Rate
Description .................................................................................................................................... 119
General Notes .............................................................................................................................. 119
Buttons Associated with Pulse Rate ........................................................................................ 119
Windows Associated with Pulse Rate ..................................................................................... 120
Indicators Associated with Pulse Rate .................................................................................... 120
Parameter Modes ......................................................................................................................... 120
User Settings................................................................................................................................. 120
Limit settings ............................................................................................................. 120
Menu Settings .............................................................................................................................. 120
Sounds Associated with Pulse Rate ......................................................................................... 120
Alarms ............................................................................................................................................. 121
Specifications ................................................................................................................................ 122
Factory Default Settings .......................................................................................... 122
Appendix A: Principles of Noninvasive Blood Pressure Determination
Principles of Noninvasive Blood Pressure Determination .................................................. 125
Systolic Search .......................................................................................................... 126
Reference Used to Determine NIBP Accuracy ................................................. 127
DINAMAP Monitors With Intra-Arterial Reference
(DINAMAP Classic Technology).............................................................. 127
DINAMAP Monitors With Auscultatory Reference
(DINAMAP Auscultatory Technology) ................................................... 127
Appendix B: Maintenance
Maintenance.................................................................................................................................. 131
Cleaning the Monitor .............................................................................................. 131

Contents
Cuff Cleaning and Disinfection ............................................................................. 131
General .......................................................................................................... 131
Materials ........................................................................................................ 131
Procedure ..................................................................................................... 132
Temperature Devices .............................................................................................. 132
SpO 2 Sensors ............................................................................................................ 132
Storage and Battery Care ........................................................................................................... 133
Fuses ............................................................................................................................................... 133
Calibration ..................................................................................................................................... 133
Leak Testing .................................................................................................................................. 133
Disposal of Product Waste ........................................................................................................ 135
Batteries ......................................................................................................................135
Patient Applied Parts ............................................................................................... 135
Packaging Material .................................................................................................. 135
Appendix C: Connection Details
Connection Details ..................................................................................................................... 139
Host Port Connector (rear panel) ......................................................................... 139
Appendix D: Warranty, Service, & Spare Parts
Warranty, Service, and Spare Parts.......................................................................................... 143
Warranty ........................................................................................................................................ 143
Assistance and Parts .................................................................................................................... 143
Repairs ........................................................................................................................................... 144
Packing Instructions .................................................................................................................... 144
Service Manuals........................................................................................................................... 144
Appendix E: Reorder Codes
Reorder Codes ............................................................................................................................. 147

DINAMAP ®
ProCare Monitor
Operation Manual
1

DINAMAP ® ProCare Monitor
2

DINAMAP ® ProCare Monitor
Operation Manual
This manual is for DINAMAP ProCare Monitors models 100,
200, 300, and 400, with or without printers.
• ProCare 100: BP, Pulse
• ProCare 200: BP, Pulse, and Temp
• ProCare 300: BP, Pulse, and SpO2 • ProCare 400: BP, Pulse, Temp, and SpO2 The model of the Monitor determines which parameters are
in your monitor. Please refer to applicable sections.
Reissues and Updates
Changes occurring between issues are addressed through
Change Information Sheets, Addendums, and replacement
pages. If a Change Information Sheet does not accompany
this manual, it is correct as printed.
Errors and Omissions
If errors or omissions are found in this manual, please notify:
GE Medical Systems Information Technologies
Technical Publications
4502 Woodland Corporate Boulevard
Tampa, FL 33614
1-877-274-8456
Part No. 2009360-001 B
The content of this document including all figures and
drawings is proprietary information of GE Medical Systems
Information Technologies, provided solely for purposes of
operation, maintenance or repair, and dissemination for
other purposes or copying thereof is prohibited without prior
written consent by GE Medical Systems Information
Technologies, Tampa, Florida.
Illustrations may show design models; production units may
incorporate changes.
3

Hierarchy of Warnings and Cautions
A general warning is a statement that alerts the user to the
possibility of injury, death, or other serious adverse reactions
associated with the misuse of the device. A warning relates
to steps in a procedure.
A general caution is a statement that alerts the user to the
possibility of a problem with the device associated with its
use or misuse. Such problems include device malfunction,
device failure, damage to the device or damage to other
property. A caution relates to steps in a procedure.
© GE Medical Systems Information Technologies 2002. All
rights reserved. TAMPA, FL 33614
Printed in the U.S.A. All rights reserved.
United States
GE Medical Systems Information Technologies
4502 Woodland Corporate Boulevard
Tampa, FL 33614
European Representative
GE Medical Systems
Information Technologies GmbH
Postfach 60 02 65
D-79032 Freiburg, Germany
Tel. +49 761 45 43 - 0
Fax +49 761 45 43 - 233
4

Introduction

About the DINAMAP ® ProCare Monitor
The ProCare Monitor provides a small, portable, easy-to-use
monitoring alternative for sub-acute hospital and nonhospital
settings. The battery-operated Monitor offers
noninvasive determination of systolic blood pressure,
diastolic blood pressure, mean arterial pressure, pulse rate,
oxygen saturation, and temperature. Monitors are available
with or without integrated printers. ProCare Monitors are
intended for use in various markets, from the physician’s
office to sub-acute triage and medical/surgical units.
• ProCare 100: BP, Pulse
• ProCare 200: BP, Pulse, and Temp
• ProCare 300: BP, Pulse, and SpO2 • ProCare 400: BP, Pulse, Temp, and SpO2 The model of the Monitor determines which parameters are
in your monitor. Please refer to applicable sections.
Using the ProCare Monitor, a clinician can view, print, and
recall clinical data that is derived from each parameter. The
Monitor is also capable of alerting the clinician to changes in
the patient’s condition or when it is unable to effectively
monitor the patient’s condition. All of the main operations of
the ProCare Monitor are easy-to-use and only a button-touch
away. Please review the factory default settings and, where
applicable, enter settings appropriate for your use.
Indications
The ProCare Monitor is intended to monitor one patient at a
time in a clinical setting.
Contraindications
This device is not designed, sold, or intended for use except
as indicated.
Federal law (U.S.A.) restricts this device to sale by or on the
order of a clinician.
7
Introduction

Warnings
• Do not use the ProCare Monitor in the presence of
magnetic resonance imaging (MRI) devices. There have
been reports of sensors causing patient burns when
operating in an MRI environment.
• Do not use the Monitor in the presence of flammable
anesthetics.
• To help prevent unintended current return paths with
the use of high frequency (HF) surgical equipment,
ensure that the HF surgical neutral electrode is
properly connected.
• To avoid personal injury, do not perform any servicing
unless qualified to do so.
• WARNING: These Monitors should not be used on
patients who are connected to cardiopulmonary bypass
machines.
• If powering the Monitor from an external power
adapter or converter, use only GE Medical Systems
Information Technologies-approved power adapters
and converters.
• The Monitor does not include any user-replaceable
fuses. Refer servicing to qualified service personnel.
• To reduce the risk of electric shock, do not remove the
cover or the back. Refer servicing to a qualified service
person.
• If the accuracy of any determination reading is
questionable, first check the patient’s vital signs by
alternate means and then check the ProCare Monitor
for proper functioning.
Cautions
• Do not use replacement batteries other than the type
supplied with the Monitor. Replacement batteries are
available from GE Medical Systems - Accessories and
Supplies.
•The ProCare Monitor is designed to conform to
Electromagnetic Compatibility (EMC) standard IEC
601-1-2, 1993 and will operate accurately in
8

conjunction with other medical equipment which also
meets this requirement. To avoid interference problems
affecting the Monitor, do not use the Monitor in the
presence of equipment which does not conform to
these specifications.
• Place the ProCare Monitor on a rigid, secure surface.
Monitor must only be used with mounting hardware,
poles, and stands recommended by GE Medical
Systems Information Technologies.
• The weight of the accessory basket contents should not
exceed 5 lb (2.7kg).
• Arrange the external AC/DC power converter, air
hoses, and all cables carefully so they do not constitute
a hazard.
• Verify calibration of BP parameter (temp and pulse
oximeter do not require calibration). Ensure that the
display is functioning properly before operating the
ProCare Monitor.
• Do not immerse the Monitor in water. If the Monitor is
splashed with water or becomes wet, wipe it
immediately with a dry cloth.
• Do not gas sterilize or autoclave.
•The ProCare Monitor, when used with GE Medical
Systems Information Technologies-approved applied
parts and accessories, is protected against defibrillator
damage.
Note
• The electromagnetic compatibility profile of the ProCare
Monitor may change if accessories other than those
specified for use with the ProCare Monitor are used.
9
Introduction

Product Compliance
The DINAMAP ® ProCare Monitor is classified in the following
categories for compliance with IEC 601-1:
• Internally powered or Class II when powered from
external supply
•Transportable
• For continuous operation
• Not suitable for use in the presence of flammable anesthetics
• Not for use in the presence of an oxygen-enriched
atmosphere (oxygen tent)
• Type BF applied parts
• IPX1, degree of protection against ingress of water
• Sterilization/Disinfection, see Appendix B
• Software is developed in accordance with IEC 601-1-4.
• This equipment is suitable for connection to public
mains via power adaptors as defined in CISPR 11.
•The SpO2 parameter conforms to EN 865:1997 with
the exception of Clauses 36, 48, sub-clause
51.108.1and to ISO 9919.
• Defibrillation protected. When used with the
recommended accessories, the Monitor is protected
against the effects of defibrillator discharge. If
monitoring is disrupted by the defibrillation, the
Monitor will recover.
0086
DINAMAP ® PROCARE MONITOR
CLASSIFIED WITH RESPECT TO ELECTRIC SHOCK, FIRE
AND MECHANICAL AND OTHER SPECIFIED HAZARDS
ONLY IN ACCORDANCE WITH CAN/CSA C22.2 NO.
601.1. ALSO EVALUATED TO IEC-601-2-30.
This product conforms with the essential requirements
of the Medical Device Directive. Accessories without
the CE mark are not guaranteed to meet the Essential
Requirements of the Medical Device Directive.
10

Symbols
The following symbols are associated with the ProCare
Monitor.
Note: The model of the Monitor determines which symbols
appear on it.
Attention, consult accompanying documents
Silence
Alarms
+ / - Increase / decrease adjustable settings
Menu
Inflate/Stop
Cycle
History
Print
On/Off
Battery Power
External communications port connector
Charging
Defibrillator-proof type BF equipment
External DC power input
Class II equipment according to IEC 60536
11

IPX1
12
Packaging label depicting the
transportation and storage
atmospheric pressure range
of 500 to 1060 hPa.
The DINAMAP ® ProCare Monitor is protected against
vertically falling drops of water and conforms with the IEC
529 standard at level of IPX1. Vertically falling drops shall
have no harmful effects to the Monitor.

Getting Started

Getting Started
Unpacking the Monitor and Accessories
Before attempting to use the ProCare Monitor, take a few
minutes to become acquainted with the Monitor and its
accessories. Unpack the items carefully. This is also a good
time to check for any damage or accessory shortage. If there
is a problem or shortage, contact GE Medical Systems
Information Technologies.
It is recommended that all the packaging be retained, in case
the Monitor must be returned for service in the future.
Setting up BP Connections
1. Connect the end of
the air hose that has
quick-release clips to
the BP connector on
the front of the
Monitor. Make sure
that the hose is not
kinked or
compressed.
Note: To disconnect
the hose from the
Monitor, squeeze the quick-release clips together and pull
the plug from the BP connector.
2. Select appropriate cuff size. Measure patient’s limb and
select appropriately sized cuff according to size marked
on cuff or cuff packaging. When cuff sizes overlap for a
specified circumference, choose the larger size cuff.
Precaution: Accuracy depends on use of proper size cuff.
3. Inspect cuff for damage. Replace cuff when aging, tearing,
or weak closure is apparent. Do not inflate cuff when
unwrapped.
Precaution: Do not use cuff if damaged.
4. Connect the cuff to the air hose. Refer to the BP section
for complete cuff connection instructions.
Warning: It is mandatory that the appropriate hose and
cuff combination be used. Any attempt to modify the
hose will inhibit the Monitor from switching between the
neonatal and adult measurement modes.
15

Note: Care should be taken in reconnecting the cuff to a
hose, ensuring that threads of the cuff and hose are in
alignment and no cross-threading occurs.
5. Refer to the BP section of this manual for complete
instructions on taking an accurate BP determination.
Note: Use only CRITIKON ® Blood Pressure Cuffs. The
size, shape, and bladder characteristics can affect the
performance of the instrument. Inaccurate readings may
occur unless CRITIKON ® Blood Pressure Cuffs are used.
Refer to Appendix E for reorder codes.
Setting up SpO2 Connections
1. Plug the appropriate SpO 2 sensor into the SpO 2 sensor
extension cable.
2. Then plug the SpO 2 sensor extension cable into the SpO 2
sensor connector on the Monitor.
3. Refer to the applicable SpO 2 section of this manual for
complete instructions on monitoring SpO 2 .
Setting up Temperature Connections
1. Connect the
temperature probe
cable to the
temperature probe
connector on the
Monitor.
2. Insert the temperature
probe into the probe
holster at the side of
the Monitor.
16

Getting Started
3. Refer to the TURBOTEMP section of this manual for
complete instructions on taking a temperature reading.
Setting up the Printer (Installing the Paper)
1. With the Monitor
powered on, turn it so
that the side with the
printer is facing you.
2. While grasping the side
of the Monitor, lift the
printer door open by
placing your thumb in
the indented area and
pulling. The printer
door will pop open.
3.Place the roll of paper into the
compartment so that the end of
the paper comes off the right-side
of the roll (paper is wound
around the roll clockwise). Push
the roll all the way to the back of
the printer cavity, making sure the
paper extends out of the printer
cavity at least two inches.
4.Firmly press the door to close it.
5.Refer to the Printer section of
this manual for complete
instructions.
Power Sources
The ProCare Monitor is designed to operate from an internal
lead-acid battery (see “Specifications” in Product Overview
section).
Note: The ProCare Monitor is not designed to operate
without an internal battery.
Powering the Monitor: Battery and DC Supply
Before the ProCare Monitor is used for the first time, the
battery should be charged in the Monitor for at least 8 hours.
With external DC power connected, the green CHARGING
indicator will light to indicate that the battery is charging.
17

When the Monitor is operating on battery power and the
BATTERY LOW alarm is not active, the BATTERY indicator is
backlit green. When the Monitor is operating on battery
power and the BATTERY LOW alarm is active, the BATTERY
indicator flashes green, the LOW indicator flashes amber,
and the medium priority alarm sounds until it is
acknowledged. Press the Silence button to acknowledge this
alarm. Once it is acknowledged, the indicators continue to
flash, but the audible alarm is silenced for 10 minutes. Once
the BATTERY LOW condition becomes active, the Monitor
should be connected to a DC power supply to recharge the
battery (refer to “Power Requirements” in Product Overview
section). If the Monitor continues to be used (approx. 10
min) without charging the battery, the Monitor enters a failsafe
mode: all functions are shutdown except for the alarm
error code in the systolic window, and a constant alarm tone
sounds for up to 10 minutes. After 10 minutes the alarm tone
automatically shuts off and the alarm error code remains in
the systolic window.
Battery charging will take
place as long as the Monitor
remains connected to an
external DC power source.
Notes
• To prolong the life of the
battery, keep the
Monitor connected to a
DC power supply
whenever possible. NEVER allow the battery to become
completely discharged. A fully charged battery will
power the Monitor for approximately 2 hours. To ensure
full charge cycles, replace only with a recommended
battery. If the Monitor is to be stored for some time, first
charge the battery and then remove it and store it
separately from the Monitor.
18

Getting Started
Replacing the Battery
1. Unplug the Monitor from the DC power source.
2. Looking at the bottom of the ProCare Monitor, remove
the battery compartment cover by removing the four
screws that secure the cover and help card tray.
3. Remove the help card tray and battery door cover.
3. Remove the old battery and disconnect the wires. Attach
the battery wires to the new battery, ensuring the red
terminal (+) is connected to the red wire and the black
terminal (-) is connected to the black wire.
4. Insert the battery into the compartment.
5. Then replace the cover, help card tray, and screws. Insert
the external DC power converter plug into the external
DC power socket and plug into an AC outlet.
19

General Caution
• Do not touch either the pin of the DC input connector
or the terminals within the battery compartment and
the patient at the same time.
Switching the Monitor On and Off
To switch the ProCare Monitor on, push the power On/Off
button.
As the Monitor powers up, it will run a short self-test routine,
which will flash all the indicator lights and then beep the
warning speaker.
To switch the Monitor off, push the power On/Off button
again. This will terminate any measurements that may be in
progress and automatically deflate the cuff. The Monitor also
has an auto turn-off feature, which turns it off after 35
minutes of inactivity.
Setting the Date and Time
To set the date and time on the ProCare Monitor, you must
first access the configuration mode. The following list shows
which settings appear in which windows.
Setting: Window Text in Window
• Day: Diastolic
• Month: MAP/Cuff
• Year: Systolic
• Hour: min
• Minute: min
Procedures
1. With the Monitor off, press and hold the Menu button at
the same time as pressing the On/Off button for 3
seconds.
2. The Monitor automatically switches on in configuration
mode.
20

Getting Started
3. To set the date and time, press the Menu button to move
from one setting to another. (You will need to press the
Menu button several times until the year setting appears.)
Use the +/- buttons to increment or decrement the
individual settings. Once you are finished changing a
setting, press the Menu button again to move to the next
setting.
Note: For the date and time to be saved, you must
advance the menu through the min setting.
4. To exit config mode, press the On/Off button.
21

Product Overview

Product Overview
Buttons
1 Silence button: Press to mute audible alarms. Any alarm
active that is acknowledgeable is also removed whenever
this key is pressed. When pressed after alarm sounds
(silence active), the silence icon (bell) lights to indicate
that audible alarms have been silenced for 2 minutes
2 Alarms button: Press to view or adjust parameter alarm
settings
3 +/- button (Plus/Minus): Press the + button to increase an
adjustable setting and the - button to decrease an
adjustable setting. This button is active only when a usersetting
mode (limit or menu) is active
4 Menu button: Press to access menu settings that can be
adjusted while in clinical mode (i.e., ALARM VOLUME,
PULSE VOLUME, INFLATE PRESSURE; refer to Operating
Modes in this section for a description of clinical mode)
5 SpO 2 sensor connector: SpO 2 sensor extension cable
attaches here
6 BP connector: BP cuff hose attaches here
7 Inflate/Stop button: Press to start a manual BP
determination or stop any BP determination
8 Temperature probe holster: Temperature probe is stored
here
9 Cycle button: Press to start Auto Cycle or STAT mode
25

10 Temperature probe cover storage: Box of probe covers is
stored here
11 History button: Press to activate the history mode. When
activated, it displays the most recent entries stored. Press
and hold the button for 2 seconds to clear all entries
stored
12 Print button: Press to print currently displayed values or all
stored entries when in history mode
13 On/Off button: Controls on/off state of monitor; push for
power on and push again for power off
14 Temperature probe connector: Temperature probe cable
attaches here
26

Product Overview
Front Panel
15 Silence icon: when Silence button is pressed after alarm
sounds (silence active), silence icon (bell) lights to indicate
that audible alarms have been silenced for 2 minutes
16 Systolic window: 3-digit red LED indicates measured
systolic BP in mmHg
17 Diastolic window: 3-digit red LED indicates measured
diastolic BP in mmHg
18 Alarm volume indicator: lights to indicate you are making
a change to the alarm volume
19 Pulse volume: lights to indicate you are making a change
to the pulse volume
20 Inflate pressure: lights to indicate you are making a
change to the inflation pressure
21 Pulse Rate window: 3-digit yellow LED shows pulse rate in
beats per minute
22 SpO 2 pulse indicator: Red LED bar flashes to indicate that
real-time pulse rate measurements are being derived from
SpO 2 signals
23 SpO 2 window: 3-digit red LED indicates oxygen saturation
in %
27

24 MAP/Cuff window: 3-digit red LED indicates measured
MAP in mmHg and shows instantaneous cuff pressure
during BP determination
25 Min window: Displays the BP mode if manual or STAT is
the cycle time when in Auto Cycle mode
26 Battery power indicator: Green LED indicates the Monitor
is operating on battery power
27 Low battery power indicator: Yellow LED indicates LOW
charge status of internal battery
28 Charging indicator: Green LED indicates presence of
external power source and battery charging
29 Temperature window: 4-digit red LED indicates measured
temperature
28

Product Overview
Rear Panel
30 Data interface connector: Host communications port
(15 pin D-type RS-232 serial port) for use only with
equipment conforming to IEC 601-1, configured to
comply with IEC 601-1-1
31 Printer compartment
29

Left-Side Panel
32 Printer compartment
Right-Side Panel
33 External DC power socket: To be used with approved GE
Medical Systems Information Technologies AC-DC power
converter ONLY
30

Product Overview
Windows
Each derived vital sign has an associated window for
displaying the value. For each window, the vital sign’s name
and unit of measure are labeled above and to the right of it,
respectively. An additional window--the min window--is
available for displaying the BP mode or chosen AUTO
CYCLE selection.
Indicators
Indicators are text messages and icons that are positioned on
the front of the Monitor and can be either backlit red or
green. For each vital sign that has user-adjustable limits, two
indicators (HIGH, LOW) appear to the right of its window.
Operating Modes
The ProCare Monitor can operate in one of four modes:
clinical, configuration, advanced configuration, and service.
Clinical mode is the Monitor’s normal operating mode.
While this mode is active, alarm limits and a few other
commonly used settings are adjustable. All parameters are
available for monitoring in this mode.
Configuration and advanced configuration modes display the
software revision and allows you to configure defaults for
some settings that are available in clinical mode, as well as
some less commonly used settings that are only adjustable in
these modes. No parameters are operable in these modes,
therefore, patient monitoring should be suspended.
Entering Configuration Mode
1. With the Monitor off, press and hold the Menu button at
the same time as pressing the On/Off button for 3
seconds.
2. The Monitor automatically switches on in configuration
mode.
Refer to the Service Manual for instructions for use
concerning advanced configuration and service mode.
31

Parameter Modes
The ProCare Monitor has three parameter modes: offline,
ready, or operate.
A parameter is in offline mode when its vital sign(s) are not
checked against user-set limits, alarm conditions detected by
the parameter do not generate alarms, and no vital sign(s)
data is displayed.
A parameter is in ready mode when its vital signs are not
checked against user-set limits, alarm conditions detected by
the parameter do not generate alarms, and no vital sign(s)
data is displayed. However, information regarding the
connection of a sensor is communicated in this mode.
A parameter is in operate mode when the appropriate vital
signs are being checked against user-set limits and alarming
conditions detected by the parameter generate alarms. Vital
sign(s) data from the parameter is displayed.
When the Monitor is turned on and no sensor is connected,
the parameter remains in offline mode. Upon detection of a
sensor, the parameter auto-switches to ready mode. Upon
detection of valid patient data, the parameter auto-switches
to operate mode.
User Modes
The ProCare Monitor has four user modes that are available
during clinical operating mode: Menu, Cycle, Limit
Adjustment, and History.
The Menu mode allows you to access and change the three
settings associated with the following indicators: ALARM
VOLUME, PULSE VOLUME, AND INFLATE PRESSURE. To
activate this mode, press the Menu button. With each press
of the Menu button, the indicator appears in flashing green
with the associated value appearing in red in the Diastolic
window. As the Menu button is pressed, the indicators
appear in the following order: ALARM VOLUME, PULSE
VOLUME, AND INFLATE PRESSURE. To change the
associated value, simply use the +/- button to increment or
decrement, respectively. After 15 seconds of not pressing the
32

Product Overview
Menu button, the Menu mode is automatically exited.
Otherwise, you can exit the Menu mode by pressing the
Menu button one more time after viewing the oldest entry.
Upon exiting Menu mode, the main monitoring screen is
displayed. Alarm and pulse volume settings are retained after
power-off. INFLATE PRESSURE is reset to its configured
default after power-off.
The Cycle mode allows you to access Auto Cycle and STAT
modes. Refer to the BP section for more information.
The History mode allows you to access the stored patient
data. Refer to the History section for more information.
The Limit Adjustment mode allows you to change alarm
limit settings that are used while monitoring a patient. All
limit alarm settings return to their default settings after
power-off. The range and increment/decrement steps for
each derived vital sign that has adjustable limits are
described in each parameter section. The step size specified
(which cannot be adjusted) tells how much the limit value
will change per increment/decrement key press and also
dictates how close together a pair of limits can be.
Limit-adjustable vital signs are displayed in the following
order: Systolic (HIGH, LOW), Diastolic (HIGH, LOW), Pulse
Rate (HIGH, LOW), and SpO 2 (HIGH, LOW).
Note: The Temperature and MAP (mean arterial pressure)
vital signs are not checked against alarm limits.
Sounds
The Monitor generates sounds based upon user interaction,
parameter events, parameter and system alarms, and low
battery alarms.
User interaction sounds include positive key tone and
negative key tone. The positive key tone sounds one highpitched
tone when you press a button and the Monitor is
able to perform the intended function. The negative key tone
sounds three low-pitched tones when you press a button and
the Monitor is unable to perform the intended function.
33

Parameter-specific sounds are related to the functioning of
each parameter: NIBP, Temperature, and SpO 2 . Refer to the
individual parameter sections for definitions and sounds.
Alarm-specific sounds include medium and high priority. The
medium-priority alarm sounds three high-pitched tones. The
high-priority alarm sounds three high-pitched tones followed
by two high-pitched tones. When alarms of both priorities
are active, only the high-priority alarm sound is audible.
A sound is generated when AC power is lost while patient
monitoring is active.
Power Sources
The ProCare Monitor is designed to operate from an internal
lead-acid battery. For replacement rechargeable batteries,
please refer to the Service section of this manual.
34

Product Overview
Specifications
Mechanical
Dimensions Height: 9.7 in (24.7 cm)
Width: 8.6 in (21.9 cm)
without Temperature
10.0 in (25.4 cm) with Temp
Depth: 5.3 in (13.5 cm)
Weight, Including Battery 5.68 lb (2.58 kg)
Mountings Self-supporting on rubber feet
Portability Carried by handle
Classification Information Mode of operation:
continuous
Degree of protection against
harmful ingress of water: Dripproof
IPX1
Power Requirements
Power Converter US: P/N: 2009460-001
Protection against electrical
shock: Class II
AC input: 120 VAC/60 Hz
24W
DC output voltage; 12VDC
at 1A
The AC mains power adapter
contains a nonresettable and
nonreplaceable fuse.
Power Converter UK & EUR: P/N UK: 2008538-001
P/N EUR: 2009539-001
Protection against electrical
shock: Class II
AC input: 230-240 VAC/50 Hz
92mA
DC output voltage; 12VDC
at 1A
35

36
The AC mains power adapter
contains a nonresettable and
nonreplaceable fuse.
Monitor Protection against electrical
shock: Internally powered or
Class II when powered from
specified external power
supply.
DC input voltage: 12 VDC,
supplied from a source
conforming to IEC 601-1.
Fuses: The Monitor contains
four fuses. The fuses are autoresettable
and mounted within
the Monitor. The fuses protect
the low voltage DC input, the
battery, the remote alarm
output, and the +5 V output
on the host port connector.
Battery: 6 volt, 3.3 amp-hours
protected by internal autoresetting
fuse and thermal
protection.
Minimum operation time: 2
hrs (5 min cycle with adult cuff
at 25 °C, SpO 2 active at 60
bpm, Temp in monitor mode,
printout of current values
every 5 min) from full charge.
Time for full recharge: Approx.
5 hrs from full discharge when
the Monitor is switched off and
approx. 8 hrs when the Monitor
is switched on.
Environmental
Operating Temperature + 5 °C to + 40 °C
(+ 41 °F to + 104 °F)
Operating Atmospheric
Pressure 700 hPa to 1060 hPa

Product Overview
Storage Temperature – 20 °C to + 50 °C
(– 4 °F to + 122 °F)
Storage/Transportation
Atmospheric Pressure 500 hPa to 1060 hPa
Humidity Range 5% to 95% noncondensing
Radio Frequency Complies with IEC
Publication 601-1-2 (April
1993) Medical Electrical
Equipment, Electromagnetic
Compatibility Requirements
and Tests and CISPR 11
(Group 1, Class B) for radiated
and conducted emissions.
IPX1
The DINAMAP ® ProCare Monitor is
protected against vertically falling drops of
water and conforms with the IEC 529
standard at level of IPX1. No harmful
effects will come of vertically falling drops
of water making contact with the Monitor.
37

Printer

41
Printer
Description
The ProCare Monitor comes with an optional text-only
printer. Each time a printout is started, the following
information is printed: GE Medical Systems header, monitor
name; model number; current software revision; a place for
patient name and hand-written comments; a place for the
column labels, parameter labels, or unit of measure; date;
and vital signs data, if available. On some models, a pencil
icon appears instead of the name and comments labels.
Installing the Paper
Refer to the Getting Started section for instructions.
Print Button
The Print button initiates two types of printouts: currently
displayed values and History.
By pressing the Print button while the main monitoring
screen is viewable, a printout of the currently displayed
values is generated. Since the currently displayed values may
have been derived at different times (e.g., the BP values are 5
minutes old, while Temp was just completed), the Monitor
prints the value along with a time stamp of when that value
was derived. Values are printed in order of the most recent
to the oldest.
By pressing the Print button when in History mode, all
entries currently stored in the history are printed in order of
the most recent to the oldest.
Note: If the Print button was pressed during the first 10
seconds of SpO 2 monitoring, dashes will appear for SpO 2
and pulse rate readings.
The availability of the printer is determined at the time the
printout is started. When the printer is unavailable, the Print
button makes a negative key sound when you press it. The
printer is unavailable if it is out of paper, too hot, or if the
battery is too low, or if the Monitor is in any of the following
modes: Cycle, Alarm limit adjustment, Menu, config, or service.
If no print is visible on the paper, check that the paper roll
has been installed in the correct position (refer to diagram).

To tear off the printout, use a slight sideways action to pull
the paper sharply up across the edge of the door.
Printer Alarms
When any of the alarm conditions occur, the alarm code
flashes in the min window and a high-priority alarm sounds.
When a printer alarm condition is active, you can
acknowledge the alarm by pressing the Silence button.
E10: PRINTER NO PAPER
This alarm is generated when the Print button is pressed and
the printer detects that there is no paper.
E11: PRINTER TOO HOT
This alarm is generated when a printout is in progress and the
printer becomes too hot to print.
E12: BATTERY TOO LOW TO PRINT
This alarm is generated when a printout is in progress and the
battery becomes too low to print.
Storage
Store thermal paper in a cool, dry place. The printed strip
(thermal paper recording) should not be
• exposed to direct sunlight,
• exposed to temperatures over 100 °F/38 °C or relative
humidity over 80%,
• placed in contact with adhesives, adhesive tapes, or
plasticizers such as those found in all PVC page
protectors.
Note: When in doubt about long-term storage conditions,
store a photocopy of the thermal paper recording.
Cautions
• The paper is thermally activated; therefore, do not store
it in a hot place as discoloration may result.
• Use only replacement paper rolls (P/N 770137 for
single rolls, 089100 for box of 10) from GE Medical
Systems - Accessories and Supplies.
42

Alarms

45
Alarms
The ProCare Monitor provides visible and audible indications
of patient-, and system-related alarm conditions. An alarm
can generate an audible indication, visual indication, alarm
message code, and electronic record in the history.
Alarm Codes
All alarm indications are accompanied by an audible signal
unless the Silence button is selected. A microprocessor
system failure will generate a high-pitched audible alarm
regardless of the setting of the Silence button.
There are three categories of alarms: patient-related (limit
and parameter status alarms), system-related (printer, battery,
and memory alarms), and system failures.
Adjusting Alarm Limits
Alarms Button
Pressing the Alarms button activates the limit adjustment
user mode. When the limit adjustment mode is initially
activated, it first displays the systolic high limit value with the
HIGH indicator flashing in red. With each subsequent press
of the Alarms button, the next limit in the sequence is
displayed for adjustment. Press the + button to increase the
displayed limit value and the - button to decrease the
displayed limit value.
To exit limit adjustment mode after setting alarms, you must
progress through all limits until you reach the last one. Then,
after reaching the last limit, immediately press the Alarms
button. The main monitoring screen appears indicating that
you have exited Alarms mode. If monitoring is active, the
current vital signs appear after you have completed your
alarm setting changes. Or, you can let the mode timeout by
not touching the Alarms button until the main monitoring
screen appears indicating that you have exited Alarms mode.
The Monitor returns to all default limit settings after poweroff;
these defaults are adjustable via configuration mode.
Adjustable vital signs limits are displayed in the following
order: Systolic (HIGH, LOW), Diastolic (HIGH, LOW), Pulse
Rate (HIGH, LOW), and SpO 2 (HIGH, LOW). Refer to each
parameter section for ranges.

Note: The Temperature and MAP vital signs are not checked
against alarm limits.
Adjusting the Alarm Volume
You can adjust the alarm volume by pressing the Menu
button. ALARM VOLUME will flash in green with the value in
the Diastolic window. You can set the ALARM VOLUME
range from 1 to 10 (10 being the loudest). Changing the
volume applies to all alarms.
The positive key tone that sounds when you press the +/-
buttons relates directly to the user-set alarm volume. Refer to
User Modes.
Silencing and Acknowledging an Alarm
Silence Button
To silence a patient-related alarm (limit and parameter status
alarms) at anytime, press the Silence button. The silence icon
(a bell) lights to indicate that audible alarms have been
silenced for 2 minutes.
Some patient- and system-related alarms are
acknowledgeable. (Refer to the Alarm Message Codes table
at the back of this section.) For acknowledgeable alarms that
are active when the Silence button is pressed, any associated
audible or visual indication is removed and any associated
alarm message code is no longer displayed.
The silence icon has three states:
• Solid red: silence icon is active.
• Blinking red: alarm silence is not active and at least one
alarm condition is active.
• Off: alarm silence is not active and no alarm condition is
active.
Alarm Sounds
The Monitor produces two different alarm sounds based
upon the priority of the alarm: medium and high priority. The
medium-priority alarm sounds three high-pitched tones. The
high-priority alarm sounds three high-pitched tones followed
46

47
Alarms
by two high-pitched tones. When alarms of both priorities
are active, only the high-priority alarm sound is audible.
Alarm Detection and Priorities
Limit Alarms
The Monitor checks each derived vital sign (except MAP and
Temperature) against user-set limits. A high-limit alarm is
generated when that value is greater than its high limit. A
low-limit alarm is generated when that value is less than its
low limit. All limit alarms are considered high priority.
Parameter Range Default
Systolic High 35 - 290 200
Systolic Low 30 - 285 80
Diastolic High 15 - 220 120
Diastolic Low 10 - 215 30
Pulse Rate High: NELLCOR 35 - 250 150
Pulse Rate Low: NELLCOR 30 - 245 50
Pulse Rate High: MASIMO 35 - 235 150
Pulse Rate Low: MASIMO 30 - 230 50
SpO 2 High 21 - 100 100
SpO 2 Low 20 - 99 90
When a limit violation occurs, the following happens:
• The derived vital sign that is out of limits and the
associated HIGH or LOW indicator flash.
• The high priority alarm sound becomes audible unless
silence is active.
Parameter Status Alarms
The Monitor generates parameter status alarms when
unusual patient or sensor conditions are detected. All

parameter status alarms are considered high priority alarms.
Refer to the Alarm Message Codes table in this section.
When a parameter status alarm occurs, the following
happens:
• Its code flashes in the associated window.
• The high priority alarm sound becomes audible unless
alarm silence is active.
Printer Alarms
Refer to Printer section.
Memory Alarms
Memory alarms occur when battery-backed RAM is
corrupted. When it occurs, all settings are reset to their
factory defaults. When detected, the alarm message code
appears in the Systolic window and the medium-priority
alarm sounds.
Battery Alarms
Refer to “Powering the Monitor” in the Getting Started
section.
System Failure Alarms
System failures are caused by a system software or hardware
failure. When a system failure occurs, the error code is
displayed in the Systolic window, and the Monitor enters a
fail-safe mode in which a constant alarm tone sounds for up
to 10 minutes before the tone is automatically switched off.
Refer to the Alarm Message Codes table in this section.
48

Specifications
Default Settings
Alarm Volume 5
49
Alarms

Alarm
Message
Code
Alarm Detected
50
Acknowledgeable by
pressing Silence?*
E89 BP NO DETERMINATION Yes
E85 BP LEVEL TIMEOUT Yes
E84 BP TOTAL TIMEOUT Yes
E83 BP INFLATION TIMEOUT Yes
E82 EXCESS AIR IN CUFF Yes
E80 BP OVERPRESSURE Yes
E20 SPO2 NO SENSOR Yes
E21 SPO2 REPLACE SENSOR Yes
E22
SPO2 REPOSITION SENSOR
(Masimo ONLY)
Yes
E23 SPO2 SENSOR OFF FINGER Yes
E25 SPO2 NO SIGNAL Yes
E61 TEMP PROBE BROKEN No
E63
TEMP DISCONNECTED OR
WRONG TYPE PROBE
Yes
E66 TEMP PROBE TOO HOT No
E10 PRINTER NO PAPER Yes
E11 PRINTER TOO HOT Yes
E12 BATTERY TOO LOW TO PRINT Yes
E00 MEMORY LOST Yes

Alarm
Message
Code
Alarm Detected
51
Alarms
Acknowledgeable by
pressing Silence?*
930 SYSTEM FAILURE** No
940 SYSTEM FAILURE** No
950 SYSTEM FAILURE** No
951 SYSTEM FAILURE** No
952 SYSTEM FAILURE** No
970 SYSTEM FAILURE** No
971 SYSTEM FAILURE** No
972 SYSTEM FAILURE** No
973 SYSTEM FAILURE** No
974 SYSTEM FAILURE** No
975 SYSTEM FAILURE** No
*Acknowledging an alarm by pressing the Silence button, cancels the alarm.
** Refer to the ProCare Service Manual for definitions and instructions.

History

55
History
Description
The History mode allows you to access the stored patient
data. The ProCare Monitor can hold up to 25 stored entries
in history. When full, the oldest entry is removed so the most
recent entry can be stored. Additionally, entries are
automatically removed when they become older than 24 hours.
The age of each entry is maintained and displayed in the min
window with a minus sign (-) in front of it when other data
stored for that entry is displayed. For entries that are greater
than 59 minutes old, the age is displayed as HH:MM
(hour:min). For entries that are less than or equal to 59
minutes old, the age is displayed in total minutes.
When viewing entries in History that are out of limits, the
corresponding HIGH or LOW indicator appears in red.
An entry is stored in history at the completion of a BP
determination and at the completion of a successful
predictive temperature measurement. At the end of a BP
determination, systolic, diastolic, MAP, pulse rate, and SpO 2
values are stored. At the end of a temperature determination,
only the temperature value is stored.
Buttons Associated with History
To activate the History mode, press the History button. The
HISTORY indicator flashes green while this mode is active.
With each press of the History button, the patient data
stored with the next oldest entry is displayed. Entries are
displayed from the most recent to the oldest. For example,
the most recent entry could have an age of -0 minutes and
the oldest entry could have an age of -23:59.
After 15 seconds of not pressing the History button, the
History mode is automatically exited. Otherwise, you can
exit the History mode by pressing the History button one
more time after viewing the oldest entry. Upon exiting
History mode, the main monitoring screen is displayed.
Erasing Stored History
To erase stored patient data, press and hold the History
button for a minimum of 2 seconds. All entries that were

stored in history, as well as any patient data displayed on the
Monitor that relates to the previous determination or the
previous temperature measurement is erased.
Windows Associated with History
Each window on the Monitor can be active during History
mode. When the History button is pressed the patient data
stored for each entry is displayed in the applicable windows.
Patient data is displayed from most recent to oldest,
indicated by the age in the min window.
Indicators Associated with History
The History indicator is used to show the state of the history
mode. When History mode is active, the History indicator
flashes green.
56

59
BP
Description
The BP parameter in the ProCare Monitor is available with
two types of BP technologies: one calibrated to intra-arterial
pressure and one calibrated to the auscultatory method
(specific technologies are available in select markets). Please
refer to the front of your ProCare Monitor to see which BP
technology your monitor contains. The monitors containing
auscultatory technology will have an auscultatory label
above the model number on the front of the Monitor. Then,
refer to the Appendix A: Principles of Noninvasive Blood
Pressure Determination for specific information regarding
both technologies. All user interface options, instructions for
use, and alarms will be the same for both technologies. The
BP parameter is included in all models. Blood pressure is
monitored noninvasively in the ProCare Monitor by
oscillometric method.
Note: For neonatal populations, the reference is always the
intra-arterial pressure monitoring method.
The ProCare Monitor has three BP modes: 1. Manual, 2. Auto
Cycle, and 3. STAT. The mode is selected by the user. The
actual BP determination is automated and, once it is
complete, the values for systolic pressure, diastolic pressure,
mean arterial pressure, and pulse rate are shown in their
respective windows.
Before each BP determination, the Monitor performs a test
to ensure that the cuff pressure is below a specified level.
The determination is delayed until this condition is met. The
Monitor senses the type of hose being used and
automatically uses adult/pediatric monitoring parameters or
neonatal monitoring parameters, as appropriate.
Audible and visible alarms occur when any of the values for
systolic pressure, diastolic pressure, or pulse rate are outside
their selected high or low limits.
Note: The Monitor will continue to operate until the battery
is completely depleted in order to obtain the full use of the
battery. However, if the battery reaches its “empty” point
during a BP determination, it will simply stop in the middle of
the determination.

Instructions for cleaning and disinfecting BP cuffs are in
Appendix B.
General Warnings
• Connect cuffs and inflation systems only to systems
designed for non-invasive blood pressure monitoring.
Devices with luers and locking luer connectors may be
inadvertently connected to intravascular fluid systems
that may allow air to be pumped into a blood vessel.
•The ProCare Monitor will not measure blood pressure
effectively on patients who are experiencing seizures or
tremors.
• Arrhythmias will increase the time required by the
ProCare Monitor to determine a blood pressure and
may extend the time beyond the capabilities of the
Monitor.
• In Manual mode, the ProCare Monitor displays the
results of the last blood pressure determination for 30
minutes or until another determination is completed. If
a patient’s condition changes between one
determination and the next, the Monitor will not detect
the change or indicate an alarm condition.
• Devices that exert pressure on tissue have been
associated with purpura, skin avulsion, compartmental
syndrome, ischemia and/or neuropathy. To minimize
these potential problems, especially when monitoring
at frequent intervals or over extended periods of time,
make sure the cuff is applied appropriately and
examine the cuff site and the limb distal to the cuff
regularly for signs of impeded blood flow.
• Do not apply external pressure against cuff while
monitoring. Doing so may cause inaccurate blood
pressure values.
• Use care when placing cuff on extremity used to
monitor other patient parameters.
•The ProCare Monitor is designed for use only with
CRITIKON ® dual-tube cuffs.
60

61
BP
• Use only accessories approved for use with DINAMAP ®
Monitors. Failure to use recommended accessories may
result in inaccurate readings.
• Blood pressure cuffs should be removed from the
patient when the Monitor is powered off. If the
extremity remains cuffed under these conditions or if
the interval between blood pressure determinations is
prolonged, the patient’s limb should be observed
frequently and the cuff placement site should be
rotated as needed.
General Cautions
• Accuracy of BP measurement depends on using a cuff
of the proper size. It is essential to measure the
circumference of the limb and to select the proper size
cuff. In addition, the air hoses are color-coded
according to patient population. The gray 12- or 24-foot
hose (3.66 m or 7.3 m) is required on patients who
require cuff sizes from infant through thigh cuffs. The
light blue 12-foot hose (3.66 m) is required for the
neonatal cuff sizes #1 through #5.
• If it becomes necessary to move the cuff to another
limb, make sure the appropriate size cuff is used.
• The pulse rate derived from a BP determination may
differ from the heart rate derived from an EKG
waveform because the ProCare Monitor measures
actual peripheral pulses, not electrical signals or
contractions from the heart. Differences may occur
because electrical signals at the heart occasionally fail
to produce a peripheral pulse or the patient may have
poor peripheral perfusion. Also, if a patient’s beat-tobeat
pulse amplitude varies significantly (e.g., because
of pulsus alternans, atrial fibrillation, or the use of a
rapid-cycling artificial ventilator), blood pressure and
pulse rate readings can be erratic, and an alternate
measuring method should be used for confirmation.
General Notes
• A patient’s vital signs may vary dramatically during the
use of cardiovascular agents such as those that raise or

lower blood pressure or those that increase or decrease
heart rate.
• Several conditions may cause the BP parameter to
calculate and display only the mean arterial pressure
(MAP) without systolic and diastolic readings. These
conditions include very low systolic and amplitude
fluctuations, so an accurate calculation for these values
can’t be made (e.g., patient in shock); too small of a
difference between systolic and MAP calculations in
relationship to the difference between diastolic and
MAP; or a leak has occurred in the ProCare Monitor. If
only the MAP value is displayed, an alarm message
code is displayed in the systolic window, while the
diastolic window remains blank.
• This equipment is suitable for use in the presence of
electrosurgery.
Buttons Associated with BP
The buttons associated with BP are Inflate/Stop and Cycle.
The Inflate/Stop button starts and stops BP determinations.
When a determination is in progress, pressing this button
stops the determination. While in STAT mode, pressing this
button cancels STAT mode, as well a determination if in
progress. When in Auto Cycle mode, pressing this button
starts a determination or cancels a determination if in
progress; it does not change the mode.
Note: While an E80: BP OVERPRESSURE alarm is active, all
presses of this button are ignored.
The Cycle button initiates the Cycle mode, which is where
you can choose STAT or an auto cycle time. Cycle mode
selections appear in the following order: Stat, 1, 2, 3, 4, 5,
10, 15, 20, 30, 60, 90, 120 (minutes), and - - (two dashes).
Choose Stat to start STAT mode. Choose 1-120 to select the
desired cycle time and start Auto Cycle mode. When you
reach the desired setting, do not press the Cycle button
again. After 2 seconds the cycle mode is deactivated.
Choose the two dashes to cancel Auto Cycle mode.
Note: While an E80: BP OVERPRESSURE alarm is active, all
presses of this button are ignored.
62

63
BP
Windows Associated with BP
The windows associated with BP are Systolic, Diastolic,
MAP/Cuff, Pulse Rate, and min. The Systolic, Diastolic,
MAP/Cuff, and Pulse Rate (if SpO 2 is not active) windows
are automatically cleared when a new BP determination is
started. In manual mode, the displayed information is also
cleared when it becomes older than 30 minutes.
The Systolic and Diastolic windows display values after a
determination has completed successfully. While in STAT
mode, the Systolic window flashes the early systolic value if it
is available.
The MAP/Cuff window displays the derived mean arterial
pressure (MAP) following the completion of a successful
determination. During any type of BP determination, the
pressure inside the cuff appears in this window.
The min window displays the BP mode of operation and the
age of the previous BP determination. When both types of
information are present, they flash alternately in this window.
When in Manual mode, two dashes (- -) are displayed. When
in Auto Cycle mode, the chosen Cycle time is displayed (e.g.,
15) When in STAT mode, Stat is displayed. When displayed,
the age of the previous BP determination is preceded by a
minus sign (e.g., - 5).
Indicators Associated with BP
The indicators associated with BP are Systolic HIGH and
LOW, Diastolic HIGH and LOW, AUTO CYCLE and
HISTORY.
The AUTO CYCLE indicator appears solid green when Auto
mode is on. It flashes green when changes are being made to
the current BP mode (e.g., Cycle mode is active). The
HISTORY indicator appears solid green when the age of the
previous BP determination is displayed in the min window.
Parameter Modes
The BP parameter is in operate mode upon power-up. It does
not have a ready mode.

BP Modes of Operation
The ProCare Monitor has three BP modes: 1. Manual, 2. Auto
Cycle, and 3. STAT. The mode is selected by the user. BP
determinations are automated and, upon completion, the
values for systolic pressure, diastolic pressure, mean arterial
pressure, and pulse rate are shown in their respective
windows.
Manual BP Determinations
Manual mode allows you to take one blood pressure
determination. Manual mode is always the BP mode of
operation upon power-up. A normal, uninterrupted Manual
determination takes about 40 seconds. Following a
determination, the cuff pressure must drop below 5 mmHg
(neonate) or 15 mmHg (adult) before another determination
can be started.
Manual BP determinations are started by pressing the
Inflate/Stop button. To stop a Manual BP determination
press the Inflate/Stop button. The values displayed in the
Systolic, Diastolic, MAP, and Pulse Rate (if SpO 2 is not
active) windows are cleared after 30 minutes have lapsed.
Auto Cycle Determinations
Auto Cycle mode allows you to take multiple determinations
at user-defined intervals. In the Auto Cycle mode, the
pressure must be below 5 mmHg (neonate) or 15 mmHg
(adult) for at least 30 seconds before the next auto
determination can be started.
Auto Cycle mode is started by selecting the Cycle button.
When in Auto Cycle mode, the AUTO CYCLE indicator
appears solid green. Manual determinations can be taken
while in Auto Cycle mode without affecting when the next
auto determination is to start. You can also change the time
interval while in Auto Cycle mode.
Once the Cycle button is pressed, the first Auto Cycle
determination is started, and the time between
determinations appears in the min window. You can change
the time interval between Auto Cycle determinations by
continuing to press the Cycle button until you reach the
64

65
BP
desired time interval. Time interval selections appear in the
following order: Stat, 1, 2, 3, 4, 5, 10, 15, 20, 30, 60, 90, 120
(minutes), and - - (two dashes). When you reach the desired
time interval, do not press the Cycle button again; after 2
seconds, the chosen time interval is retained and remains in
the min window.
Pressing the Cycle button when in Auto Cycle mode
activates Cycle mode again with two dashes (- -) appearing in
the min window. If you press the Cycle button immediately
after the first press, the next time interval appears in the min
window. If you do not press the Cycle button immediately
after the first press, Cycle mode is deactivated. Press the
Inflate/Stop button to stop the determination in progress
without canceling the Auto Cycle mode. Choose the two
dashes (- -) to cancel Auto Cycle mode.
If the first Auto Cycle determination results in a limit alarm,
another repeat determination is taken to verify the alarm.
This occurs only once.
Whenever an Auto Cycle determination results in a E89: BP
NO DETERMINATION alarm, up to nine more repeat
determinations are attempted in order to achieve valid
values. If at any time during this repeat cycle, the BP NO
DETERMINATION alarm is acknowledged by pressing the
Silence button or the Inflate/Stop button, additional
determinations are not attempted. If the repeat cycle
completes all nine repeat determinations without reaching a
valid value, the Monitor returns to normal Auto Cycle mode.
However, an Auto Cycle mode determination must
complete successfully before a repeat cycle will follow a
future Auto Cycle mode determination that results in an E89:
BP NO DETERMINATION alarm.
STAT BP Determinations
STAT mode allows you to take as many determinations as
possible within a 5-minute time period. The Monitor will
begin another determination once the pressure is below 5
mmHg for 8 seconds (neonates) or 15 mmHg for 4 seconds
(adults), unless the 5-minute period has ended or STAT mode
has been canceled.

Note: BP and BP-derived pulse rate alarm limits are disabled
while in Stat mode.
STAT BP determinations are started by selecting the Cycle
button. Once the Cycle button is pressed, choose Stat. The
Monitor automatically begins a 5-minute period of STAT
determinations.
Note: If the Monitor was previously in Auto mode, the first
STAT BP determination begins after 2 seconds.
After the first STAT determination, an early systolic value
flashes in the associated window. If STAT mode is started
when a determination is already in progress, that
determination becomes the first in the series of STAT
determinations. At the end of STAT mode, the BP mode prior
to entering STAT mode is resumed. To cancel STAT mode,
press the Inflate/Stop button.
User Settings
Mode Settings
There is one mode setting associated with this parameter:
Cycle. The Cycle mode is started by pressing the Cycle
button. While the Cycle mode is active, Cycle selections are
displayed in the min window. Cycle selections appear in the
following order: Stat, 1, 2, 3, 4, 5, 10, 15, 20, 30, 60, 90,
120, - - .
Limit Settings
There are two limit settings associated with this parameter:
HIGH and LOW. Both limit settings are available for Systolic
and Diastolic windows. The range for Systolic HIGH is 35 to
290 mmHg; the range for Systolic LOW is 30 to 285 mmHg.
The range for Diastolic HIGH is 15 to 220 mmHg; the range
for Diastolic LOW is 10 to 215 mmHg. The settings appear in
increments of 5 mmHg.
Neonate Settings
The Monitor determines if a neonate BP cuff is being used
and then checks the systolic limit and adjusts it to an
appropriate limit for neonates.
66

67
BP
Menu Settings
The INFLATE PRESSURE menu setting is associated with the
BP parameter. This option lets you adjust the target pressure
that the Monitor initially pumps to for the next
determination. The settings appear in increments of 5
mmHg. The range available is 100 mmHg to 250 mmHg. If
the Monitor senses a neonate BP cuff in use, it checks the
systolic limit and adjusts it to an appropriate limit for
neonates.
When you change the target pressure, any values from the
previous determinations are cleared from their associated
windows.
Manual determinations use the value chosen for INFLATE
PRESSURE as their target inflation pressure unless a
determination is started within 2 minutes of the completion
of a previous determination. For a determination that is
started within 2 minutes of the previous determination, the
target inflation pressure is adaptive (calculates the target
inflation pressure based on the previous determination). For
all Auto Cycle and STAT determinations (with the exception
of the first determination of the series), the target inflation
pressure is always adaptive.
Sounds Associated with BP
There is one tone associated with this parameter: a single
tone. The tone sounds at the completion of any BP
determination.
Procedures
1. Connect the end of the air hose which has quick-release
clips to the BP connector on the front of the Monitor.
Make sure that the hose is not kinked or compressed.
Note: To disconnect the hose from the Monitor, squeeze
the quick-release clips together and pull the plug from the
BP connector.
2. Select the appropriate blood pressure measurement site.
Because normative values are generally based on this site
and as a matter of convenience, the upper arm is
preferred. When upper arm size or shape, the patient’s

clinical condition, or other factors prohibit use of the
upper arm, the clinician must plan patient care
accordingly, taking into account the patient’s
cardiovascular status and the effect of an alternative site
on blood pressure values, proper cuff size, and comfort.
The figure shows the recommended sites for placing cuffs.
Warning: Do not place the cuff on a limb being used for
intravenous infusion or any area where circulation is
compromised or has the potential to be compromised.
3. If patient is standing, sitting, or inclined, ensure that cuffed
limb is supported to maintain cuff at level of patient’s
heart. If cuff is not at heart level, the difference in systolic
and diastolic values due to hydrostatic effect must be
considered. Add 1.80 mmHg to values for every inch
(2.54 cm) above heart level. Subtract 1.80 mmHg from
values for every inch (2.54 cm) below heart level.
4. Select appropriate cuff size. Measure patient’s limb and
select appropriately sized cuff according to size marked
on cuff or cuff packaging. When cuff sizes overlap for a
specified circumference, choose the larger size cuff.
Precaution: Accuracy depends on use of proper size cuff.
Caution: Do not use an infant cuff with an auscultatory
reference DINAMAP ® ProCare Monitor. The neonatal
#5 cuff and neonatal hose may be used on patients with
an arm circumference of 8 - 15 cm.
Note: Use only CRITIKON ® Blood Pressure Cuffs. The
size, shape, and bladder characteristics can affect the
performance of the instrument. Inaccurate readings may
occur unless CRITIKON ® Blood Pressure Cuffs are used.
5. Inspect cuff for damage. Replace cuff when aging, tearing,
or weak closure is apparent. Do not inflate cuff when
unwrapped.
68

69
BP
Precaution: Do not use cuff if structural integrity is
suspect.
6. Connect the cuff to the air hose.
7. Inspect patient’s limb prior to application.
Precaution: Do not apply cuff to areas where skin is not
intact or tissue is injured.
8. Palpate artery and place cuff so that patient’s artery is
aligned with cuff arrow marked “artery.”
9. Squeeze all air from cuff and confirm that the connection
is secure and unoccluded and that tubing is not kinked.
10.Wrap cuff snugly around the patient’s limb. Cuff index
line must fall within the range markings. Ensure that hook
and loop closures are properly engaged so that pressure
is evenly distributed throughout cuff. If upper arm is used,
place cuff as far proximally as possible.
11.Proper cuff wrapping should be snug, but should still
allow space for a finger between patient and cuff. Cuff
should not be so tight as to prevent venous return
between determinations.
Warning: Using a cuff that is too tight will cause venous
congestion and discoloration of the limb, but using a
cuff that is too loose may result in no readings and/or
inaccurate readings.
12.Proceed with monitoring in the Manual, Auto Cycle, or
STAT mode.
Cuff Connections
Quick-Disconnect
Air Hose
Push and twist the male
slip hose connector into
the cuff connector to
ensure a tight fit.

Neonate Air Hose
Push and twist the male
slip hose connector into
the cuff connector to
ensure a tight fit.
Alarms
Alarm Acknowledgeable
by pressing Silence?
BP SYSTOLIC HIGH yes
BP SYSTOLIC LOW yes
BP DIASTOLIC HIGH yes
BP DIASTOLIC LOW yes
E89: BP NO DETERMINATION yes
E85: BP LEVEL TIMEOUT yes
E84: BP TOTAL TIMEOUT yes
E83: BP PUMP TIMEOUT yes
E80: BP OVERPRESSURE yes
E82: EXCESS AIR IN CUFF yes
The alarm codes appear in the Systolic window. When an
alarm is active, it can be acknowledged by starting a new
determination, with the exception of the E80: BP
OVERPRESSURE alarm. BP OVERPRESSURE can only be
acknowledged by pressing the Silence button. During STAT
mode determinations, systolic, diastolic and BP-derived pulse
rate values are not checked against their limits.
Critikon US Patents
4,360,029; 4,501,280; 4,546,775; 4,638,810; 5,052,397;
4,349,034; 4,543,962; 4,627,440; 4,754,761; 5,170,795
European Patents
EP122123, EP205805, EP207807
70

71
BP
Specifications
Cuff Pressure Range 0 to 290 mmHg (adult/ped)
(Normal operating range) 0 to 140 mmHg (neonate)
Blood Pressure Accuracy Meets or exceeds ANSI/AAMI
standard SP-10 (mean error ≤5
mmHg, standard deviation ≤8
mmHg)
Maximum Determination 120 s (adult/ped)
Time 85 s (neonate)
Overpressure Cutoff 300 to 330 mmHg (adult/ped)
150 to 165 mmHg (neonate)
Pulse Rate Range 30 to 200 beats/min (adult/ped)
30 to 220 beats/min (neonate)
Pulse Rate Accuracy ± 3.5%
Factory Default Settings
Systolic Limits (mmHg) HIGH: 200
LOW: 80
Diastolic Limits (mmHg) HIGH: 120
LOW: 30
Inflation Pressure 160 mmHg (adult/ped)
110 mmHg (neonate)
Cycle button 15
All DINAMAP ® Monitor regulatory and accuracy studies
have been performed using CRITIKON ® Blood Pressure
Cuffs. Use only CRITIKON ® Blood Pressure Cuffs. The
size, shape, and bladder characteristics can affect the
performance of the instrument. Inaccurate readings may
occur unless CRITIKON ® Blood Pressure Cuffs are used.

SpO 2

NELLCOR* OxiMAX SpO2
NELLCOR ® SpO 2
Description
The SpO 2 parameter in the ProCare Monitor is available in
two different leading technologies: NELLCOR ® and
MASIMO SET ® . Please refer to the front of your Monitor to
see which SpO 2 technology your monitor contains. The
SpO 2 technology logo will be on the front fascia of the
Monitor. This section refers to NELLCOR ® SpO 2 technology.
The SpO 2 parameter is included in Models 300 and 400. To
begin SpO 2monitoring, plug the sensor into the NELLCOR ®
DOC-10 sensor extension cable, then plug the cable into the
Monitor. Simply place the SpO 2 sensor on the patient’s
finger; monitoring begins automatically. Functional oxygen
saturation (SpO 2) of arterial blood is noninvasively and
continuously monitored in the ProCare Monitor using pulse
oximetry technology from NELLCOR ® . Functional SpO 2 is
the ratio of oxygenated hemoglobin to hemoglobin that is
capable of transporting oxygen. This ratio, expressed as a
percentage, is shown in the SpO 2 window, which is
continually updated.
Pulse rate derived from SpO 2 appears in the Pulse Rate
window. A tone sounds at a rate corresponding to the pulse
rate and at a pitch corresponding to the SpO 2 saturation
level. The pitch is highest at 100% oxygen saturation, and it
continuously decreases as the saturation level falls. The
Monitor displays a pulse amplitude bar. The pulse amplitude
bar graph is proportional to the arterial blood flow.
Audible and visible alarms occur when SpO 2 levels are
outside the alarm limits. When a parameter status alarm
occurs, an alarm message code appears in the SpO 2
window.
Note: Limit alarms, printing, and trending are not available
for the first 10 seconds of SpO 2 monitoring.
*NELLCOR ® is a trademark of Nellcor Puritan Bennett
75

General Warnings
• Do not place SpO2 sensor on patient during magnetic
resonance imaging (MRI). Adverse reactions include
potential burns to patients as a result of contact with
attachments heated by the MRI radio frequency pulse,
potential degradation of the magnetic resonance
image, and potential reduced accuracy of SpO2 measurements. Always remove oximetry devices and
attachments from the MRI environment before
scanning a patient.
• The use of cardio-green and other intravascular dyes at
certain concentrations may affect the accuracy of the
SpO2 measurement.
•The SpO2 function is calibrated to read functional
arterial oxygen saturation. Significant levels of
dysfunctional hemoglobins such as carboxyhemoglobin
or methemoglobin may affect the accuracy of the SpO2 measurement.
• Pulse oximetry readings and pulse signals can be
affected by certain environmental conditions, sensor
application errors, and certain patient conditions. See
the appropriate sections of this manual for specific
safety information.
• The use of accessories, transducers, and cables other
than those specified may result in increased emission
and/or decreased immunity and inaccurate readings of
the Monitor.
General Cautions
• As with any clip-on sensor, pressure is exerted. The
clinician should be cautious in using a clip-on sensor on
patients with compromised circulation (e.g., because of
peripheral vascular disease or vasoconstricting
medications).
• Do not perform any testing or maintenance on a sensor
while it is being used to monitor a patient.
• Bright light sources (e.g., infrared heat lamps, bilirubin
lights, direct sunlight, operating room lights) may
interfere with the performance of the SpO2 function.
76

NELLCOR ® SpO 2
To prevent such interference, cover the sensor with
opaque material.
General Notes
• A patient’s vital signs may vary dramatically during the
use of cardiovascular agents such as those that raise or
lower blood pressure or those that increase or decrease
pulse rate.
•The ProCare Monitor that is labeled with NELLCOR ®
Technology is compatible only with NELLCOR ® OxiMAX
sensors and NELLCOR ® DOC-10 sensor extension cable.
• Software development, software validation, and Risk and
Hazard Analysis has been performed to a registered
quality system.
• User or patient-applied parts are latex-free.
Configuration Settings Associated with SpO 2
There are two configuration settings associated with this
parameter: Response Mode (n0d) and SatSeconds (SAt).
Response Mode (n0d) allows the user to specify the
averaging technique to optimize measurements in the
presence of various patient movement. Choose Mode 1
(Normal Response) when patients are active as in exercise
protocols. Choose Mode 2 (Fast Response; default setting)
for the general patient population. The configuration of this
setting affects whether the pulse rate derived from SpO 2 is
displayed in the Pulse Rate window while SpO 2 is in operate
mode. If Mode 1 is chosen, the pulse rate is not displayed. If
Mode 2 is chosen, the pulse rate is displayed.
With traditional alarm management, upper and lower alarm
limits are set for monitoring SpO 2 . During monitoring, as
soon as an alarm limit is violated by as little as one
percentage point, an audible alarm immediately sounds.
When the % SpO 2 fluctuates near an alarm limit, the alarm
sounds each time the limit is violated. To prevent these
nuisance alarms, the ProCare Monitor uses the SatSeconds
technique. The SatSeconds technique (SAt) limit-controls
the time that the % SpO 2 level may fall outside the alarm
77

efore an audible alarm sounds. Choose either 0, 10, 25, 50,
or 100 seconds. If 0 is chosen this limit hold-off feature is
disabled.
The SatSeconds “Safety Net” is for patients with saturation
levels having frequent excursions below the limit, but not
staying below the limit long enough for the SatSeconds
time setting to be reached. When 3 or more limit violations
occur within 60 seconds, an alarm sounds even if the
SatSeconds time setting has not been reached.
Buttons Associated with SpO 2
There are no buttons associated with this parameter.
Windows Associated with SpO 2
There is one window associated with this parameter: SpO 2 .
While in offline mode, nothing is displayed in the SpO 2
window. When in ready mode and the parameter senses that
a sensor is connected, a single dash (-) appears in this
window. When it is in operate mode and the parameter is
reporting a valid data, the derived SpO 2 value appears in this
window. The values are displayed in %.
Note: If SpO 2 is the source for Pulse Rate, the Pulse Rate
window is associated with this parameter.
Indicators Associated with SpO 2
There is one indicator associated with this parameter: the
pulse amplitude indicator bar. The red LED bar flashes to
indicate that pulse rate measurements are being derived
from SpO 2 signals and the height of the bar is proportional to
the arterial blood flow.
Parameter Modes
The SpO 2 parameter is in offline mode upon power-up. The
parameter automatically switches from offline to ready mode
when a sensor is connected to the Monitor. The parameter
automatically switches from ready to operate mode when
pulses are detected.
If an SpO 2 SENSOR OFF FINGER or SPO 2 LOST PULSE
alarm is acknowledged, the parameter automatically
switches from operate to ready mode. If a SpO 2 SENSOR
78

NELLCOR ® SpO 2
DISCONNECTED alarm is acknowledged, the parameter
automatically switches from operate to offline mode.
Note: Once either of these alarms have been acknowledged,
SpO 2 monitoring is not resumed until a valid pulse is
detected again.
User Settings
Limit settings
There are two limit settings associated with this parameter:
HIGH and LOW. The range for HIGH is 21 to 100%. The
range for LOW is 20 to 99%. The settings appear in
increments of 1%.
Menu Settings
The PULSE VOLUME menu setting is associated with the
SpO 2 parameter. This option lets you adjust the volume of
the tone that sounds after each detected heartbeat. It can be
adjusted from 0 - 10 (10 being the loudest). If you set the
volume to zero, no tone will sound.
Sounds Associated with SpO 2
An audible tone is provided by the Monitor for each pulse
detected by the NELLCOR ® SpO 2 parameter. The pitch of
the audible tone is directly related to the calculated
saturation value. As the saturation value increases, the pitch
frequency increases continuously with each 1% increase in
SpO 2 . As the saturation value decreases, the pitch frequency
continuously decreases. This audible tone is silenced while
an alarm sounds or the PULSE VOLUME is set to 0. Refer to
“Menu Settings” in this section.
Procedures
1. Select a sensor that is appropriate for the patient and the
clinical situation.
• Use only NELLCOR ® sensors PURPLE and WHITE and
NELLCOR ® DOC-10 pulse oximetery cables. Use of
another pulse oximetry cable will have an adverse effect
on performance. Do not attach any cable that is
intended for computer use to the sensor port. Do not
connect any device other than NELLCOR ® -approved
sensor to the sensor connector.
79

Warning: Do not use a damaged sensor or one with
exposed electrical contacts. Do not use sensor, cables,
or connectors that appear damaged.
Note: Use only NELLCOR ® OxiMAX compatible sensors,
which are available from GE Medical Systems -
Accessories and Supplies.
2. Following the directions for use supplied with the sensor,
apply the sensor to the patient.
Warnings
Patient safety:
• If the sensor is are not applied properly, the patient’s
skin could be injured or the ability of the ProCare
Monitor to measure oxygen saturation could be
compromised. For example, a clip-on sensor should
never be taped shut. Taping the sensor could damage
the patient’s skin or impair the venous return, thus
causing venous pulsation and inaccurate measurement
of oxygen saturation.
• Excessive pressure from the sensor may cause necrosis
of the skin.
• For additional warnings and information, refer to the
NELLCOR ® sensor’s directions for use.
Monitor performance:
•When an SpO2 sensor is on a limb that has a blood
pressure cuff, the SpO2 data will not be valid when the
cuff is inflated. If SpO2 readings are required during
the entire blood pressure determination, attach the
SpO2 sensor to the limb opposite the one with the
blood pressure cuff.
• Remove nail polish and artificial nails. Placing a sensor
on a polished or an artificial nail may affect accuracy.
Cautions
Patient safety:
• Do not place any clip-on sensor in a patient’s mouth or
on a patient’s nose or toe.
• Do not place a clip-on finger sensor on a patient’s
thumb or across a child’s foot or hand.
• The sensor disconnect error message and associated
alarm indicate that the sensor is either disconnected or
80

NELLCOR ® SpO2 the wiring is faulty. The user should check the sensor
connection and, if necessary, replace the sensor, DOC-
10 cable, or both.
• Observe the sensor site frequently to assure adequate
distal circulation. Sensor sites should be checked at
least every 2 hours and rotated at least every 4
hours.
Monitor performance:
• Placing a sensor distal to an arterial line may interfere
with adequate arterial pulsation and compromise the
measurement of SpO2 .
• Place the sensor so that the LEDs and the photodiode
are opposite each other.
3. Plug the SpO2 sensor into the SpO2 sensor extension
cable. Then plug the SpO2 sensor extension cable into the
SpO2 sensor connector.
4. Proceed with monitoring. SpO2 determinations run
continuously and can run simultaneously with other
measurements.
Alarms
Alarm Acknowledgeable
by pressing Silence?
SPO2 HIGH no
SPO2 LOW no
E20: SPO2 SENSOR DISCONNECTED yes
E21: SPO2 REPLACE SENSOR yes
E23: SPO2 SENSOR OFF FINGER yes
E25: SPO2 LOST PULSE no
81

Troubleshooting
This section discusses potential difficulties and suggestions
for resolving them. If the difficulty persists, contact a qualified
service person or your local representative. The service
manual, which is for use by qualified service personnel
provides additional troubleshooting information.
PROBLEM: The pulse amplitude bar indicates a pulse, but no
oxygen saturation or pulse rate values appear on the screen.
CAUSE:
• Excessive patient motion may be making it impossible
for the SpO2 function to find a pulse pattern.
• The sensor may be damaged.
• The patient’s perfusion may be too low to allow the
SpO2 function to measure saturation and pulse rate.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
SpO2 sensor is applied securely and properly, and
replace it if necessary; move the sensor to a new site; or
use a disposable adhesive sensor that may tolerate more
motion.
• Replace the sensor.
PROBLEM: The SpO2 value or the pulse rate changes
rapidly; the pulse amplitude bar is erratic.
CAUSE:
• Excessive patient motion may be making it impossible
for the SpO2 function to find a pulse pattern.
• An electrosurgical unit (ESU) may be interfering with
performance.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
sensor is applied securely and properly, and replace it if
necessary; move the sensor to a new site; use a sensor
that tolerates more motion.
If an ESU is interfering:
• Move the SpO2 cable as far from the ESU as possible.
82

NELLCOR ® SpO 2
• Plug the Monitor and the ESU into different AC circuits.
• Move the ESU ground pad as close to the surgical site as
possible.
• The sensor may need to be replaced with a new sensor.
• If the patient weighs less than 3 kg or more than 40 kg,
apply an OXIMAX, reusable sensors (except DS-100,
OXI-A/N, OXI-P/I), or OxiCliq oxygen transducer to an
appropriate site. These sensors have Faraday shields
which provide added protection from high electronic
noise and ambient light.
PROBLEM: The oxygen saturation measurement does not
correlate with the value calculated from a blood gas
determination.
CAUSE:
•The SpO2 calculation may not have correctly adjusted
for the effects of pH; temperature; CO2 ; fetal
hemoglobin; or 2,3-DPG.
• Accuracy can be affected by incorrect sensor application
or use; intravascular dyes; bright light; excessive patient
movement; venous pulsations; electrosurgical
interference; and placement of a sensor on an extremity
that has a blood pressure cuff, arterial catheter, or
intravascular line.
SOLUTION:
• Check that calculations have been corrected
appropriately for the relevant variable. In general,
calculated saturation values are not as reliable as direct
laboratory hemoximeter measurements.
• If there is excessive light, cover the sensor with opaque
material.
• Circulation distal to the sensor site should be checked
routinely. Refer to the directions for use supplied with the
sensor for requirements on moving the sensor to another
site to ensure adhesion, skin integrity, and correct optical
alignment. If skin integrity changes, move the sensor to
another site.
• Try to keep the patient still, or change the sensor site to
one with less motion.
83

• Observe all instructions, warnings, and cautions in this
manual and in the directions for use of the sensor.
PROBLEM: A valid SpO2 signal was present but has
disappeared.
CAUSE:
• A BP determination on the same limb is in progress.
SOLUTION:
Check the patient.
• An alarm message code appears on the screen, and the
audible alarm will sound immediately.
• Move the sensor to the arm that is not connected to a
blood pressure cuff.
PROBLEM: A REPLACE SENSOR error code has been
detected.
CAUSE:
• The sensor or cable may be the wrong type or defective,
the cabling may be improperly connected.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
proper sensor/cable is applied securely and properly,
and replace it if necessary.
• Disconnect and reconnect the sensor.
PROBLEM: A SENSOR DISCONNECTED error code has
been detected, but the sensor is still connected.
CAUSE:
• The sensor is not completely connected. The sensor
extension cable or sensor wiring is faulty.
SOLUTION:
Check the patient.
• Check the sensor connection to the sensor extension
cable and the sensor extension cable connection to the
monitor. Then, if needed, replace the sensor or the
sensor extension cable.
84

NELLCOR ® SpO 2
Specifications
Measurement Range
SpO2 1 to 100%
Pulse Rate 20 to 250 beats/min
Accuracy and Motion Tolerance
Saturation
Without Motion - Adults* 70 to 100% ±2 digits
Without Motion - Neonate* 70 to 100% ±3 digits
With Motion - Adults/Neo** 70 to 100% ±3 digits
Low Perfusion 70 to 100% ±2 digits
0 to 69% unspecified
Pulse Rate
Without Motion 20 to 250 beats/min ±3 digits
With Motion normal physiologic range
55 to 125 beats/min ±5 digits
Low Perfusion 20 to 250 beats/min ±3 digits
*Adult specifications are shown for OXIMAX MAX-A and MAX-N sensors.
Neonate specifications are shown for OXIMAX MAX-N. Saturation accuracy
will vary by sensor type.
**Applicability: OXIMAX MAX-A, MAX-AL, MAX-P, MAX-I, and MAX-N sensors.
NELLCOR ® Sensor Accuracy
Note: All NELLCOR ® sensors must be used with the
NELLCOR ® DOC-10 cable; the SCP-10 cable is not
compatible with the ProCare Monitor.
Sensor Model SpO 2 Range
70% - 100%
OxiMAX
MAX-A*, MAX-AL* ±2 digits
MAX-N* † (Adult) ±2 digits
MAX-N* † (Neonate) ±3 digits
MAX-P* ±2 digits
MAX-I* ±2 digits
MAX-R* ‡
±3.5 digits
OxiCliq ®
OxiCliq A ±2.5 digits
OxiCliq P ±2.5 digits
85

OxiCliq N † (Adult) ±2.5 digits
OxiCliq N † (Neonate) ±3.5 digits
OxiCliq I ±2.5 digits
Reusable Sensor Models
D-YS (Infant to Adult) ±3 digits
D-YS (Neonate) ±4 digits
D-YS with D-YSE ±3.5 digits
D-YS with D-YSPD ±3.5 digits
DS-100A ±3 digits
OXI-A/N (Adult) ±3 digits
OXI-A/N (Neonate) ±4 digits
OXI-P/I ±3 digits
* The accuracy specification under motion conditions is ±3. For a definition
of motion, contact NELLCOR ® Technical Services or your local
representative.
†
The MAX-N and the OxiCliq N were tested on patients >40 kg.
‡
The accuracy specification has been determined between saturations of
80%-100%.
Neonatal Sensor Accuracy
When sensors are used on neonatal subjects as
recommended, the specified accuracy range is increased by
±1 digit, to account for the theoretical effect on oximeter
measurements of fetal hemoglobin in neonatal blood. For
example, MAX-N accuracy on neonates is ±3 digits, rather
than ±2 digits.
Sensor Light Source
Wavelength Infrared: 890 nm (nominal)
Red: 660 nm (nominal)
Power Dissipation Infrared: 22.5 mW (max)
Red: 30 mW (max)
Factory Default Settings
SpO 2 (%) HIGH Alarm Limit: 100
SpO 2 (%) LOW Alarm Limit: 90
Response Mode 2 (for Mode 2: Fast Response)
SatSeconds 0
86

NELLCOR ® SpO 2
NELLCOR ® Patents
US Patent No. 4,621,643; 4,653,498; 4,700,708; 4,770,179;
4,802,486; 4,869,254; 4,928,692; 4,934,372; 5,078,136;
5,351,685; 5,421,329; 5,485,847; 5,533,507; 5,577,500;
5,803,910; 5,853,364; 5,865,736; 6,083,172; Re. 35,122 and
foreign equivalents.
87

MASIMO SET® SpO 2
Masimo Set* SpO 2
Description
The SpO 2 parameter in the ProCare Monitor is available in
two different leading technologies: NELLCOR ® and
MASIMO SET ® . Please refer to the front of your ProCare
Monitor to see which SpO 2 technology your monitor
contains. The SpO 2 technology logo will be on the front
fascia. This section refers to MASIMO SET ® SpO 2
technology.
The SpO 2 parameter is included in Models 300 and 400.
Functional oxygen saturation (SpO 2) of arterial blood is
noninvasively and continuously monitored in the ProCare
Monitor using pulse oximetry technology from MASIMO
SET ® . Functional SpO 2 is the ratio of oxygenated hemoglobin
to hemoglobin that is capable of transporting oxygen. This
ratio, expressed as a percentage, is shown in the SpO 2
window, which is continually updated.
Pulse rate when associated with SpO 2 appears in the Pulse
Rate window. A tone sounds at a rate corresponding to the
pulse rate and at a pitch corresponding to the SpO 2
saturation level. The pitch is highest at 100% oxygen
saturation, and it becomes lower as the saturation level falls.
The Monitor displays a pulse amplitude bar. The pulse
amplitude bar graph is proportional to the arterial blood
flow.
Audible and visible alarms occur when SpO2 levels are
outside the alarm limits. When a parameter status alarm
message code occurs, an alarm message appears in the
SpO2 window.
Note: Limit alarms, printing, and trending are not available
for the first 10 seconds of SpO2 monitoring.
*MASIMO SET ® is a trademark of Masimo Corporation. Possession or
purchase of this device does not convey any express or implied license to
use the device with replacement parts which would, alone, or in
combination with this device, fall within the scope of one or more of the
patents relating to the device.
89
®

General Cautions
• If any measurement does not seem reasonable, first
check the patient’s vital signs by alternate means and
the check the pulse oximeter for proper functioning.
• Inaccurate measurements may be caused by:
- Incorrect sensor application or use
- Significant levels of dysfunctional hemoglobins
(e.g., carboxyhemoglobin or methemoglobin)
- Intravascular dyes such as indocyanine green or
methylene blue
- Exposure to excessive illumination, such as surgical
lamps (especially ones with xenon light source),
bilirubin lamps, fluorescent lights, infrared heating
lamps, or direct sunlight (exposure to excessive
illumination can be corrected by covering the
sensor with a dark or opaque material)
- excessive patient movement
- venous pulsations
- placement of sensor on an extremity with a blood
pressure cuff, arterial catheter, or intravascular line
• The pulse oximeter can be used during defibrillation,
but the readings may be inaccurate for a short time.
• loss of pulse signal can occur in any of the following
situation:
- the sensor is too tight
- there is excessive illumination from light sources
such as surgical lamp, a bilirubin lamp, or sunlight
- a blood pressure cuff is inflated on the same
extremity as the one with a SP02 sensor attached
- the patient has hypotension, severe
vasoconstriction, severe anemia, or hypothermia
- there is arterial occlusion proximal to the sensor
- the patient is in cardiac arrest or is in shock
90

MASIMO SET® SpO 2
Sensors
• Before use, carefully read the Masimo ® sensor
directions for use.
• Use only Masimo ® oximetry sensors for SP02 measurements. Other oxygen transducers (sensors)
may cause improper SpO2 performance.
• Tissue damage can be caused by incorrect application
or use of an Masimo ® sensor, for example by wrapping
the sensor too tightly. Inspect the sensor site as
directed in the sensor Directions for Use to ensure skin
integrity and correct positioning and adhesion of the
sensor.
• Do not use damaged Masimo ® sensors. Do not use a
Masimo ® sensor with exposed optical components. Do
not immerse the sensor in water, solvents, or cleaning
solutions (the sensors and connectors are not
waterproof). Do not sterilize by irradiation, steam, or
ethylene oxide. See the cleaning instructions in the
directions for use for reusable Masimo ® sensors.
• Do not use damaged patient cables. Do not immerse
the patient cables in water, solvents, or cleaning
solutions (the patient cable connectors are not
waterproof). Do not sterilize by irradiation, steam, or
ethylene oxide. See the cleaning instructions in the
directions for use for reusable Masimo ® patient cables.
• Do not use the SpO2 function during magnetic
resonance imaging (MRI). Adverse reactions include
potential burns to patients as a result of contact with
attachments heated by the MRI radio frequency pulse,
potential degradation of the magnetic resonance
image, and potential reduced accuracy of SpO2 measurements. Always remove oximetry devices and
attachments from the MRI environment before
scanning a patient.
• The use of cardio-green and other intravascular dyes at
certain concentrations may affect the accuracy of the
SpO2 measurement.
•The SpO2 function is calibrated to read functional
arterial oxygen saturation. Significant levels of
dysfunctional hemoglobins such as carboxyhemoglobin
91

or methemoglobin may affect the accuracy of the SpO2 measurement.
• The use of accessories, transducers, and cables other
than those specified may result in increased emission
and/or decreased immunity and inaccurate readings of
the Monitor.
• As with any clip-on sensor, pressure is exerted. The
clinician should be cautious in using a clip-on sensor on
patients with compromised circulation (e.g., because of
peripheral vascular disease or vasoconstricting
medications).
• Do not perform any testing or maintenance on a sensor
while it is being used to monitor a patient.
• Bright light sources (e.g., infrared heat lamps, bilirubin
lights, direct sunlight, operating room lights) may
interfere with the performance of the SpO2 function.
To prevent such interference, cover the sensor with
opaque material.
General Notes
• A patient’s vital signs may vary dramatically during the
use of cardiovascular agents such as those that raise or
lower blood pressure or those that increase or decrease
pulse rate.
•The ProCare Monitor that is labeled with MASIMO SET ®
Technology is compatible only with MASIMO SET ®
sensors.
• Software development, software validation, and Risk and
Hazard Analysis has been performed to a registered
quality system.
• User or patient-applied parts are latex-free.
Configuration Settings Associated with SpO 2
There are three configuration settings associated with this
parameter: Averaging Time (n0d), FastSAT (Sat), and
Sensitivity Mode (Sen).
92

MASIMO SET® SpO 2
Averaging Time (n0d) allows you to choose the number of
seconds over which SpO 2 data is averaged. Choose 4 to 16
in steps of 2.
FastSAT (Sat) allows you to choose 0 (for Off) or 1 (for On).
If FastSAT is configured to 1 (On), the SpO 2 values are
calculated quicker.
Sensitivity Mode (Sen) setting allows you to adjust the
thresholds for calculating SpO 2 values under low perfusion
conditions. Choose 1 (low perfusion-Maximized) or 2 (low
perfusion-Default).
Buttons Associated with SpO 2
There are no buttons associated with this parameter.
Windows Associated with SpO 2
There is one window associated with this parameter: SpO 2 .
While in offline mode, nothing is displayed in the SpO 2
window. When in ready mode and the parameter senses that
a sensor is connected, a single dash (-) appears in this
window. When it is in operate mode and the parameter is
reporting valid data, the derived SpO 2 value appears in this
window. The values are displayed in %.
Note: If SpO 2 is the source for Pulse Rate, the Pulse Rate
window is associated with this parameter.
Indicators Associated with SpO 2
There is one indicator associated with this parameter: the
pulse amplitude indicator bar. The red LED bar flashes to
indicate that pulse rate measurements are being derived
from SpO 2 signals and the height of the bar is proportional to
the arterial blood flow.
Parameter Modes
The SpO 2 parameter is in offline mode upon power-up. The
parameter automatically switches from offline to ready mode
when a sensor is connected to the Monitor. The parameter
automatically switches from ready to operate mode when
pulses are detected.
93

If a SpO 2 SENSOR OFF FINGER or SPO 2 LOST PULSE alarm
is acknowledged, the parameter automatically switches from
operate to ready mode. If a SpO 2 SENSOR DISCONNECTED
alarm is acknowledged, the parameter automatically
switches from operate to offline mode.
Note: Once either of these alarms have been acknowledged
and the parameter switches to ready mode, SpO 2 monitoring
is not resumed until a valid pulse is detected again.
User Settings
Limit settings
There are two limit settings associated with this parameter:
HIGH and LOW. The range for HIGH is 21 to 100%. The
range for LOW is 20 to 99%. The settings appear in
increments of 1%.
Menu Settings
The PULSE VOLUME menu setting is associated with the
SpO 2 parameter. This option lets you adjust the volume of
the tone that sounds for each pulse detected. It can be
adjusted from 0 - 10 (10 being the loudest). If you set the
volume to zero, no tone will sound.
Sounds Associated with SpO 2
An audible tone is provided by the Monitor for each pulse
detected by the MASIMO SET ® SpO 2 parameter. The pitch
of the audible tone is directly related to the calculated
saturation value. As the saturation value increases, the pitch
frequency increases. As the saturation value decreases, the
pitch frequency decreases. This audible tone is silenced
while an alarm sounds or the PULSE VOLUME is set to 0.
Refer to “Menu Settings” in this section.
Procedures
1. Select a sensor that is appropriate for the patient and the
clinical situation.
Warning: Do not use a damaged sensor or one with
exposed electrical contacts.
Note: Use only MASIMO ® sensors, which are available
from Masimo ® Corporation and GE Medical Systems -
Accessories and Supplies.
94

MASIMO SET® SpO2 2. Following the directions for use supplied with the sensor,
apply the sensor to the patient.
Warnings
Patient safety:
• If you fail to apply the sensor properly, the patient’s
skin could be injured or the ability of the ProCare
Monitor to measure oxygen saturation could be
compromised. For example, a clip-on sensor should
never be taped shut. Taping the sensor could damage
the patient’s skin or impair the venous return, thus
causing venous pulsation and inaccurate measurement
of oxygen saturation.
• Excessive pressure from the sensor may cause necrosis
of the skin.
Monitor performance:
•When an SpO2 sensor is on a limb that has a blood
pressure cuff, the SpO2 data will not be valid when the
cuff is inflated. If SpO2 readings are required during
the entire blood pressure determination, attach the
SpO2 sensor to the limb opposite the one with the
blood pressure cuff.
• Remove nail polish and artificial nails. Placing a sensor
on a polished or an artificial nail may affect accuracy.
Cautions
Patient safety:
• Do not place any clip-on sensor in a patient’s mouth or
on a patient’s nose or toe.
• Do not place a clip-on finger sensor on a patient’s
thumb or across a child’s foot or hand.
• Observe the sensor site to assure adequate distal
circulation. Sensor sites should be checked at least
every 2 hours and rotated at least every 4 hours.
Monitor performance:
• Placing a sensor distal to an arterial line may interfere
with adequate arterial pulsation and compromise the
measurement of SpO2. • Place the sensor so that the LEDs and the photodiode
are opposite each other.
95

3. Plug the SpO 2 sensor into the SpO 2 sensor extension
cable. Then plug the SpO 2 sensor extension cable into the
SpO 2 sensor connector.
4. Proceed with monitoring. SpO 2 determinations run
continuously and can run simultaneously with other
measurements.
Alarms
Alarm Acknowledgeable
by pressing Silence?
SPO2 HIGH no
SPO2 LOW no
E20: SPO2 SENSOR DISCONNECTED yes
E22: SPO2 REPOSITION SENSOR yes
E23: SPO2 SENSOR OFF FINGER yes
E25: SPO2 LOST PULSE no
96

MASIMO SET® SpO 2
Troubleshooting
This section discusses potential difficulties and suggestions
for resolving them. If the difficulty persists, contact a qualified
service person or your local representative.
The service manual, which is for use by qualified service
personnel provides additional troubleshooting information.
PROBLEM: The pulse amplitude bar indicates a pulse, but no
oxygen saturation or pulse rate values appear on the screen.
CAUSE:
• Excessive patient motion may be making it impossible
for the SpO2 function to find a pulse pattern.
• The sensor may be damaged.
• The patient’s perfusion may be too low to allow the
SpO2 function to measure saturation and pulse rate.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
SpO2 sensor is applied securely and properly, and
replace it if necessary; move the sensor to a new site; or
use a disposable adhesive sensor that may tolerate more
motion.
• Replace the sensor.
PROBLEM: The SpO2 value or the pulse rate changes
rapidly; the pulse amplitude bar is erratic.
CAUSE:
• Excessive patient motion may be making it impossible
for the SpO2 function to find a pulse pattern.
• An electrosurgical unit (ESU) may be interfering with
performance.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
sensor is applied securely and properly, and replace it if
necessary; move the sensor to a new site; use a sensor
that tolerates more motion.
97

If an ESU is interfering:
• Move the SpO2 cable as far from the ESU as possible.
• Plug the Monitor and the ESU into different AC circuits.
• Move the ESU ground pad as close to the surgical site as
possible.
• The sensor may be damp or may need to be replaced
with a new sensor.
PROBLEM: The oxygen saturation measurement does not
correlate with the value calculated from a blood gas
determination.
CAUSE:
•The SpO2 calculation may not have correctly adjusted
for the effects of pH; temperature; CO2 ; fetal
hemoglobin; or 2,3-DPG.
• Accuracy can be affected by incorrect sensor application
or use; intravascular dyes; bright light; excessive patient
movement; venous pulsations; electrosurgical
interference; and placement of a sensor on an extremity
that has a blood pressure cuff, arterial catheter, or
intravascular line.
SOLUTION:
• Check that calculations have been corrected
appropriately for the relevant variable. In general,
calculated saturation values are not as reliable as direct
laboratory co-oximeter measurements.
• If there is excessive light, cover the sensor with opaque
material.
• Circulation distal to the sensor site should be checked
routinely. The site must be inspected every 8 hours to
ensure adhesion, skin integrity, and correct optical
alignment. If skin integrity changes, move the sensor to
another site.
• Try to keep the patient still, or change the sensor site to
one with less motion.
• Observe all instructions, warnings, and cautions in this
manual and in the directions for use of the sensor.
98

MASIMO SET® SpO2 PROBLEM: A valid SpO2 signal was present but has
disappeared.
CAUSE:
• A BP determination on the same limb is in progress.
SOLUTION:
• An alarm message code appears on the screen, and the
audible alarm will sound immediately.
PROBLEM: A REPOSITION SENSOR error code has
occurred.
CAUSE:
• Weak or “noisy” signal.
SOLUTION:
Check the patient.
• If possible, keep the patient still; check whether the
sensor is applied securely and properly, and replace it if
necessary; move the sensor to a new site; or replace the
sensor.
• Change sensor type.
• Consider increasing perfusion using heat.
• If there is excessive light, cover the sensor with opaque
material.
99

Specifications
Measurement Range
SpO 2
100
1 to 100%
Pulse Rate 25 to 240 beats/min
Perfusion Range 0.02 to 20%
Accuracy and Motion Tolerance
Saturation
Without Motion - Adult/Ped* 70 to 100% ±2 digits
Without Motion - Neonate* 70 to 100% ±3 digits
With Motion - Adult/Ped/Neo**†70 to 100% ±3 digits
Low Perfusion‡ 70 to 100% ±2 digits
0 to 69% unspecified
Pulse Rate
Without Motion 25 to 240 beats/min ±3 digits
With Motion normal physiologic range
25 to 240 beats/min ±5 digits
* The Masimo SET ® SpO 2 parameter with LNOP-Adt sensors has been validated for
no motion accuracy in human blood studies on healthy adult volunteers in induced
hypoxia studies in the range of 70-100% SpO 2 against a laboratory co-oximeter and
ECG monitor. This variation equals plus or minus one standard deviation. Plus or
minus one standard deviation encompasses 68% of the population.
**The Masimo SET ® SpO 2 parameter with LNOP-Adt sensors has been validated
for motion accuracy in human blood studies on healthy adult volunteers in
induced hypoxia studies while performing rubbing and tapping motions at 2 to 4
Hz at an amplitude of 1 to 2 cm and a nonrepetitive motion between 1 to 5 Hz at
an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70-100%
SpO2 against a laboratory co-oximeter and ECG monitor. This variation equals
plus or minus one standard deviation. Plus or minus one standard deviation
encompasses 68% of the population.
†The Masimo SET ® SpO 2 parameter with LNOP-Neo Pt sensors has been
validated for neonatal motion accuracy in human blood studies on neonates
while moving the neonate’s foot at 2 to 4 cm against a laboratory co-oximeter
and ECG monitor. This variation equals plus or minus, one standard deviation.Plus
or minus one standard deviation encompasses 68% of the population.
‡The Masimo SET ® SpO 2 parameter has been validated for low perfusion
accuracy in bench top testing against a Biotek Index 2 stimulator and Masimo’s
simulator with signal strengths of greater than 0.02% and a % transmission of
greater than 5% for saturations ranging from 70 to 100%. This variation equals
plus or minus, one standard deviation.Plus or minus one standard deviation
encompasses 68% of the population.

MASIMO SET® SpO 2
Masimo ® Sensor Accuracy
Sensor Model SpO2 Range
70% - 100%
LNOP
LNOP-ADT ± 2 digits
LNOP-ADT Long ± 2 digits
LNOP-PDT ± 2 digits
LNOP-NEO ± 3 digits
LNOP-NEO PT ± 3 digits
LNOP-DCI (reusable) ± 2 digits
LNOP-DCSC (reusable) ± 2 digits
LNOP-DCIP (reusable) ± 2 digits
NRI25 (reusable) ± 2 digits
Resolution
Saturation (% SpO 2 ) 1%
Pulse Rate (bpm) 1
Low Perfusion Performance
>0.02% Pulse Amplitude Saturation (% SpO 2) ±2 digits
and % Transmission >5% Pulse Rate ±3 digits
Interfering Substances
Carboxyhemoglobin may erroneously increase readings. The
level of increase is approximately equal to the amount of
carboxyhemoglobin present. Dyes, or any substance
containing dyes, that change usual arterial pigmentation may
cause erroneous readings.
Sensor Light Source
Wavelength Infrared: 905 nm (nominal)
Red: 660 nm (nominal)
Power Dissipation Infrared: 22.5 mW (max)
Red: 27.5 mW (max)
101

Factory Default Settings
SpO 2 (%) HIGH: 100
SpO 2 (%) LOW: 90
Sensitivity Mode 2 (for low perfusion-Default)
Averaging Time 12 seconds
FastSAT Mode 0 (for Off)
Masimo Patents
5,482,036; 5,490,505; 5,632,272; 5,685,299; 5,758,644;
5,769,785; 6,002,952; 6,036,642; 6,067,462; 6,206,830;
6,157,850, and international equivalents.
102

TURBOTEMP

104

TURBOTEMP
Description
The Temperature parameter is included in Models 200 and
400. The ProCare Monitor uses IVAC ® TURBOTEMP
technology and can be used with both oral and rectal
temperature probes. The TURBOTEMP parameter
consists of an electronic thermometer that uses a
temperature-sensing device known as a thermistor. The
thermistor is part of the electrical circuit and is located at
the tip of the probe. To obtain temperatures, the probe tip
measures the rate of change in temperature when the
thermistor comes into contact with surrounding tissue. A
final temperature is calculated based on this rate of change.
Temperature values are shown in the Temperature
window in degrees Celsius or Fahrenheit, and the unit of
measure is indicated by the °C °F display. The default,
which is Fahrenheit, must be changed in the Configuration
mode. Once in Config mode, Unt (abbreviation for unit)
appears in the Temperature window; select either ° C or ° F.
Two modes of operation are available: predictive and monitor.
Predictive Mode
In predictive mode, a final temperature is displayed and an
audible single tone sounds. Upon initiation of a
measurement, the previous temperature measurement, if
present, is cleared. A predictive measurement is initiated
when the probe is removed from the probe holster. A
predictive mode measurement is terminated when one of
the following occurs:
• A final value is determined.
• The probe is inserted into the probe holster.
• The temperature measurement mode is automatically
switched to monitor mode because a predictive result
could not be determined.
• A Temperature alarm is issued.
A predictive temperature measurement value is
automatically cleared after 2 minutes if the probe is stored
*IVAC ® and TURBOTEMP are trademarks of ALARIS Medical Systems
105

in the probe holster or after 5 minutes when the probe is left
out of the probe holster.
Monitor Mode
Monitor mode is most commonly used for axillary
temperature determinations. In monitor mode, the display is
updated continually as the patient’s temperature rises or falls.
Monitor mode is automatically initiated when the probe is
removed from the probe holster twice within a half of a
second (remove probe from holster, reinsert probe tip into
holster, remove probe from holster) or when a predictive
mode measurement terminates after approximately 1 minute
of not being able to successfully compute a result. When in
monitor mode, the temperature value flashes. When the
temperature parameter switches from predictive mode to
monitor mode, a tone sounds. Monitor mode is terminated
when the probe is inserted into the probe holster.
Note: These temperature readings are not stored in history,
printed, or reported via host comms.
General Warning
• The performance of the Monitor may be degraded if it
is operated outside of the environmental conditions
specified in Product Overview.
General Cautions
• Be careful not to overextend the coiled cord of the
temperature probe. Overextension can damage the
probe coil connector interfaces.
• Accurate oral temperatures can only be obtained by
placing the blue probe under the tongue in the right or
left sublingual pocket. Temperatures in other locations in
the mouth can vary by more than 2° F or 1° C.
• Accurate rectal temperatures can only be obtained by
using the red temperature probe. Red and blue
temperature probes are not interchangeable.
• Do not allow the tip of the predictive temperature
probe to come into contact with a heat source (e.g.,
hands or fingers) prior to taking a temperature
measurement. If this occurs, allow 5 seconds for the
probe tip to cool before proceeding.
106

TURBOTEMP
• Use only IVAC ® probes and P850A probe covers. The
size, shape, and thermal characteristics of the probe
covers can affect the performance of the instrument.
Inaccurate readings may occur unless IVAC ® probes
and probe covers are used.
• Electromagnetic Compatibility: Operating the
thermometer near equipment which radiates highenergy
electromagnetic and radio frequencies
(electrosurgical/cauterizing equipment, portable
radios, cellular telephones, etc.) may cause false alarm
conditions. If this happens, reposition the thermometer
away from the source of interference and perform a
new measurement.
• If a patient’s temperature is below 96.0° F (35.6° C), the
unit will automatically switch from the normal mode into
the monitor mode within 10 seconds. It will continue to
monitor the patient’s temperature until the probe is
removed from the patient and returned to the storage well.
Configuration Settings Associated with Temperature
There is one configuration setting associated with this
parameter: Unit of Measure (Unt). This setting allows you to
choose ° Fahrenheit (F) or ° Celsius (C).
Buttons Associated with Temperature
There are no buttons associated with this parameter.
Windows Associated with Temperature
The Temperature window displays the value in ° C or ° F.
Indicators Associated with Temperature
The indicators associated with Temperature are ° C or ° F.
Measurement in Progress Indicators
Predictive Mode
•A single dash appears in the left-side of the
Temperature window indicating use of an oral probe.
107

•Two dashes appear in the left-side of the Temperature
window indicating use of a rectal probe.
•A “chase sequence” of dashes around the outside of
the right-most digit of the Temperature window appears
indicating that the probe is in contact with skin.
Monitor Mode
•The temperature value flashes indicating monitor
mode.
•Four dashes flash in the Temperature window
indicating that the measurement is < 80.0°F.
Measurement NOT in Progress Indicators
•Two dashes appear in the center of the Temperature
window indicating no values are present, and the probe
is connected.
•Blank: The Temperature window appears blank
indicating that no probe is connected.
108

TURBOTEMP
Parameter Modes
The TURBOTEMP parameter is in operate mode upon
power-up. It does not have a ready mode.
User Settings
There are no user settings associated with this parameter.
Menu Settings
There are no menu settings associated with this parameter.
Sounds Associated with TURBOTEMP
There are three sounds associated with the TURBOTEMP
parameter.
• Single tone: sounds whenever a temperature probe is
removed from or inserted into the probe holster.
• Double tone: sounds whenever monitor mode is
activated.
• Triple tone: sounds at the completion of a predictive
temperature measurement that results in a final value.
Procedures for Oral Predictive Mode Determinations
For oral temperature measurement, use the blue oral probe.
1. Connect the temperature probe cable to the temperature
probe connector.
2. Holding the sides of the probe button, remove the
temperature probe from the probe holster. An audible
single-tone sounds. Place a protective temperature probe
cover on the probe.
3. Have the patient open his/her mouth and carefully insert
the probe tip deep into the sublingual pocket where the
richest blood supply is located. Failure to firmly install the
probe cover may result in the probe cover becoming
loose or disengaged during use. Be careful not to press
the probe ejection button where the cord exits the probe
as this might loosen or eject the probe cover.
109

4. Hold the probe steady during the entire temperature
measurement process, and keep the probe tip in contact
with the tissue at all times. Do not allow the patient to
reposition the probe.
5. The determination begins automatically and takes
approximately 10 seconds, during which time a “chase
sequence” in the right-side of the Temperature window
appears to indicate progress.
6. When the determination is complete, an audible triple
tone sounds and the temperature appears on the display.
7. Remove the probe. Discard the disposable cover by
holding the probe as you
would a syringe and pressing
the button on the probe
handle. Place the probe in the
probe holster. An audible
single-tone sounds. Once you
place the probe in the probe
holster, the temperature
values will be cleared in 2
minutes. They are cleared
after 5 minutes when the probe is left out of the probe
holster.
Procedures for Rectal Predictive Mode Determinations
For rectal temperature measurement use the red rectal probe.
1. Connect the temperature probe cable to the temperature
probe connector.
2. Remove the temperature probe from the probe holster.
An audible single-tone sounds. Place a protective
temperature probe cover on the probe. Failure to firmly
110

TURBOTEMP
install the probe cover may result in the probe cover
becoming loose or disengaged during use. Be careful not
to press the probe ejection button where the cord exits
the probe as this might loosen or eject the probe cover.
3. Touch the tissue about a half inch (1.3 cm) above the
sphincter muscle and carefully insert the probe, using
current hospital technique for penetration. (The use of a
lubricant is optional.)
4. The determination begins automatically. To ensure
continuous tissue contact and maximize patient comfort,
hold the probe in position until the determination is
complete. This takes approximately 10 seconds, during
which time a “chase sequence” in the right-side of the
Temperature window appears to indicate progress.
5. When the determination is complete, an audible tripletone
sounds and the temperature appears on the display.
6. Remove the probe. Discard the disposable cover by
holding the probe as you would a syringe and pressing
the button on the probe handle. Place the probe in the
probe holster. An audible single-tone sounds. Once you
place the probe in the probe holster, the temperature
values will be cleared in 2 minutes. They are cleared after
5 minutes when the probe is left out of the probe holster.
.
Procedures for Monitor Mode Determinations
(Axillary Determinations)
1. Connect the temperature probe cable to the temperature
probe connector.
2. For accurate axillary
measurement, the Monitor
must be set in monitor mode.
To trigger monitor mode,
remove the probe from the
probe holster, then reinsert the
probe tip and remove it again
within a half of a second
(remove probe from holster,
reinsert probe tip into holster, remove probe from
holster). An audible tone sounds each time you remove
the probe from the probe holster. When monitor mode is
activated, an audible double-tone sounds and flashing
numbers appear in the Temperature window. Place a
111

protective temperature probe cover on the probe and
insert the probe in the patient's axilla, making sure the tip
of the probe is in contact with the skin and positioned as
close as possible to the axillary artery with the patient's
arm held close to his/her side.
3. Leave the probe in place for the same length of time as
required by standard hospital procedure for taking an
axillary temperature. The Monitor does not beep to
indicate a final reading.
4. Remove the probe. Discard the disposable cover by
holding the probe as you would a syringe and pressing
the button on the probe handle. Place the probe in the
probe holster. An audible single-tone sounds. Once you
place the probe in the probe holster, the temperature
values will be cleared immediately.
Notes
• If there is a long delay from the time the probe is
removed from the probe holster until it is inserted into
the patient’s mouth, it is possible that the instrument will
not display a final temperature. If this occurs, insert the
probe into the probe holster, remove it again, and start a
new measurement.
• If an alarm is actively sounding, an audible tone will not
sound.
• If the probe is not inserted/placed within 40 seconds of
probe removal, Monitor mode will be entered.
• If the probe tip temperature is 92.0° F or higher (33.3° C)
or 60° F (15.6° C) or lower when taken out of the probe
holster, the thermometer will not be able to perform a
predictive measurement. Instead, the thermometer will
automatically go into monitor mode. The temperature
reading will then flash. A correct final temperature
reading may require 3 minutes or longer. The Monitor
will not beep at final temperature. It will continue to
monitor the patient’s temperature until the probe is
removed from the patient and returned to the probe
holster.
112

TURBOTEMP
Alarms
Alarm Acknowledgeable
by pressing Silence?
E63: TEMP DISCONNECTED yes
E61: TEMP PROBE BROKEN no
E66: TEMP PROBE TOO HOT no
113

114

TURBOTEMP
Specifications
Scale °Fahrenheit (F)
°Celsius (C)
Range
Predictive mode Max: 41.1° C; 106.0° F
Min: 35.6° C; 96.0° F
Monitor mode Max: 41.1° C; 106.0° F
Min: 26.7° C; 80.0° F
Monitor mode accuracy ± 0.1° C
± 0.2° F (when tested in a
calibrated liquid bath; meets
ASTM E1112, Table 1, in range
specified)
Determination time approx. 10 seconds, typical
Use only IVAC ® probes and P850A probe covers. The size,
shape, and thermal characteristics of the probe covers can
affect the performance of the instrument. Inaccurate
readings or retention problems may occur unless IVAC ®
probes and probe covers are used. Refer to Appendix D for
reorder codes.
Factory Default Settings
Unit of measure ° F
IVAC ® Patents
U.S. D300,728, D300,909
115

116

Pulse Rate

118

119
Pulse Rate
Description
The Pulse Rate parameter is included in all Models. Pulse
Rate values can be derived from one of two sources. In
descending order of priority, they are pulse oximetry (SpO 2)
and noninvasive blood pressure (BP). The derived values for
Pulse Rate appear in the Pulse Rate window.
While SpO 2 is in operate mode, SpO 2 is the primary source
of the Pulse Rate. At any time while SpO 2 is the source and it
is unable to publish a value for Pulse Rate, three dashes (- - -)
are displayed in Pulse Rate window.
BP is the secondary source of Pulse Rate. Upon completion
of a BP determination, a Pulse Rate value is displayed in the
Pulse Rate window. A Pulse Rate value is displayed as long
as the results of that determination are displayed or until
SpO2 switches to operate mode.
Note: When BP is in STAT mode and is the source of Pulse
Rate, the Pulse Rate value is not checked against its limits
upon completion of the determination.
When SpO 2 and BP are in operate mode, their associated
alarms affect their availability to act as the Pulse Rate source.
General Notes
• Because the various sources measure or derive Pulse
Rate differently from each other, when the Monitor
changes from one source to another the value in the
Pulse Rate field may change.
• A patient’s vital signs may vary dramatically during the
use of cardiovascular agents such as those that raise or
lower blood pressure or those that increase or decrease
heart rate.
• If an SpO2-derived pulse rate is erratic, the pulse
oximeter parameter may be unable to measure the pulse
and may cause an alarm.
Buttons Associated with Pulse Rate
There are no buttons associated with this parameter.

Windows Associated with Pulse Rate
The Pulse Rate window displays the Pulse Rate value in
beats per min (bpm).
Indicators Associated with Pulse Rate
The indicators associated with Pulse Rate are HIGH and
LOW. Refer to ”Limit Settings” in this section.
Parameter Modes
The Pulse Rate parameter is in operate mode upon powerup.
It does not have a ready mode.
User Settings
Limit settings
There are two limit settings associated with this parameter:
HIGH and LOW. Monitors with NELLCOR ® Technology: The
range for HIGH is 35 to 250 bpm. The range for LOW is 30
to 245 bpm. Monitors with MASIMO ® Technology: The
range for HIGH is 35 to 235 bpm. The range for LOW is 30
to 230 bpm.The settings appear in increments of 5 bpm.
Menu Settings
If SpO 2 is the source, the PULSE VOLUME menu setting is
associated with this parameter. This option lets you adjust
the volume of the pulse tones that are generated when SpO 2
is the source. It can be adjusted from 0 - 10 (10 being the
loudest). If you set the volume to zero, no tone will sound.
Sounds Associated with Pulse Rate
If SpO 2 is the source, there is one sound associated with this
parameter: a beat detected sound. A Pulse Rate tone is
indicated by an audible beep each time a beat is detected by
the SpO 2 parameter.
Note: When the pulse rate is derived from BP, there is no
audible pulse beat.
120

121
Pulse Rate
Alarms
Alarm Acknowledgeable
by pressing Silence?
PULSE RATE HIGH no-SpO 2, yes-BP
PULSE RATE LOW no-SpO 2, yes-BP
SpO 2 Associated Alarms (If SpO 2 is the source):
E25: SPO 2 LOST PULSE
E20: SPO 2 SENSOR DISCONNECTED
E21: REPLACE SENSOR
BP Associated Alarms (If BP is the source):
E89: BP NO DETERMINATION
E85: BP LEVEL TIMEOUT
E84: BP TOTAL TIMEOUT
E83: BP PUMP TIMEOUT
E80: BP OVERPRESSURE
E82: EXCESS AIR IN CUFF

Specifications
Factory Default Settings
Pulse Rate HIGH: 150
LOW: 50
Refer to individual SpO 2 and BP sections.
122

Appendix A:
Principles of Noninvasive
Blood Pressure
Determination

124

125
Appendix A
Principles of Noninvasive Blood Pressure
Determination
The oscillometric method of determining NIBP is
accomplished by a sensitive transducer, which measures cuff
pressure and minute pressure oscillations within the cuff. The
first determination sequence initially pumps up to a cuff
pressure of about 160 mmHg for adult/pediatric patients or
110 mmHg for neonates depending on initial target pressure
preset. After inflating the cuff, the Monitor begins to deflate it
and measures systolic pressure, mean arterial pressure, and
diastolic pressure. When the diastolic pressure has been
determined, the Monitor finishes deflating the cuff and
updates the screen.
The Monitor deflates the cuff one step each time it detects
two pulsations of relatively equal amplitude. The time
between deflation steps depends on the frequency of these
matched pulses (pulse rate of the patient). However, if the
Monitor is unable to find any pulse within several seconds, it
will deflate to the next step. The process of finding two
matched pulses at each step provides artifact rejection due
to patient movement and greatly enhances the accuracy of
the Monitor. The figure shows the NIBP determination
sequence.
NIBP Determination Sequence
At each step the microprocessor stores cuff pressure, the
matched pulse amplitude, and the time between successive
pulses. The stepped deflation and matched pulse detection

continues until diastolic pressure is determined or total cuff
pressure falls below 7 mmHg. The Monitor then deflates the
cuff (to zero detected pressure), analyzes the stored data,
and updates the screen.
The operating cycle is composed of four parts: inflation time,
deflation time, evaluation time, and wait time. Wait time,
which varies from mode to mode, is affected by the cycle
time (auto mode) or operator intervention (manual mode).
The figure shows the basic operating cycle.
NIBP Operating Cycle
Systolic Search
If systolic pressure is not found, the Monitor can search at
cuff pressures higher than the initial target pressure. If the
determination is in a late stage, the Monitor will inflate the
cuff to 70 mmHg above the initial target pressure to get
better data in the systolic region. If the determination is in an
early stage, the Monitor will inflate the cuff to 50 mmHg
above the initial target pressure. The maximum pressure
allowed in systolic search is limited by the normal range for
cuff pressures.
In any operating mode, if a patient's systolic pressure
exceeds the inflation pressure of the monitor, the Monitor
will begin normal deflation sequence, detect the absence of
126

127
Appendix A
a systolic value, stop deflation, reinflate to a higher (than
initial) inflation pressure (290 mmHg maximum), and resume
normal deflation sequence. This additional inflation will occur
only once per determination.
If a previous valid systolic pressure is displayed and less than
2 minutes old, and the new systolic pressure oscillations are
compared with the previous valid determination and the
Monitor "thinks" that the systolic was not obtained, the
Monitor will inflate the cuff to a pressure of an additional 50
mmHg above the immediately preceding inflation. This
additional inflation will occur only once per determination.
Reference Used to Determine NIBP Accuracy
To establish accuracy of an NIBP device, manufacturers have
used several different types of references. The reference
blood pressures may be obtained by invasive pressure
monitoring at the central aortic region or at the radial sites.
The reference blood pressures may also be obtained by
noninvasive methods like auscultatory method (using cuff
and stethoscope).
Note: For neonatal populations, the reference is always the
intra-arterial pressure monitoring method.
DINAMAP ® Monitors With Intra-Arterial Reference
(DINAMAP ® Classic Technology)
For these monitors, the NIBP is referenced to the invasive
blood pressure obtained at the central aortic region.
DINAMAP ® Monitors With Auscultatory Reference
(DINAMAP ® Auscultatory Technology)
In these monitors, the reference blood pressure is the
auscultatory method for adult and pediatric populations. For
neonatal populations, the reference is the invasive blood
pressure obtained at the central aortic region.
Caution: Do not use an infant cuff with an auscultatory
reference DINAMAP ® ProCare Monitor. The neonatal #5
cuff and neonatal hose may be used on patients with an
arm circumference of 8 - 15 cm.

128

Appendix B:
Maintenance

130

*Trademark
131
Appendix B
Maintenance
Cleaning the Monitor
The Monitor and accessories are to be kept clean and used
according to the instructions provided here and in the
Service Manual.
The exterior of the Monitor may be wiped clean with a soft
cloth slightly dampened with mild detergents. The Monitor
and accessories should be inspected once yearly for wear
and damage.
•Do not immerse unit.
•Do not clean with isopropyl alcohol or other solvents.
•Do not immerse hoses.
Cuff Cleaning and Disinfection
General
The cuff must be thoroughly cleaned with the specified
detergent before reuse. The additional use of household
bleach as described below provides at least intermediatelevel
disinfection.
• Apply cuff hose plugs before cleaning.
• The following cleansing procedure was repeated 20
times on DURA-CUF ® Blood Pressure Cuffs and once on
SOFT-CUF ® Blood Pressure Cuffs without affecting the
performance of the cuff.
• While this procedure is adequate for cleaning/
disinfection, it may not remove all stains.
•Do not immerse hoses.
•Do not immerse cuffs without prior application of cuff
hose caps.
Materials
• Enzymatic detergent such as ENZOL* enzymatic
detergent (US) or Cidezyme* enzymatic detergent (UK)
• Distilled water
• 10% solution of household bleach (5.25% sodium
hypochlorite) in distilled water
• Soft cloths and soft-bristled brushes

•Spray bottles
Procedure
1. Prepare the enzymatic detergent according to the
manufacturer’s instructions and the 10% bleach solution,
in separate spray bottles.
2. Spray the detergent liberally on device. If the material is
dried on, allow the cuff to sit for 1 minute. For soil on the
soft part of the closure or the cuff itself, wipe the material
off with a soft cloth. For persistent contamination on the
soft part of the closure, use a soft-bristled brush to loosen
particles. Rinse with copious amounts of distilled water.
Repeat until no visible contamination remains. For soil on
the hook part of the closure, use a soft-bristled brush to
remove the material, and rinse with copious amounts of
distilled water. Repeat until no visible contamination
remains.
3. Spray the 10% bleach solution on the affected area until
the area is saturated. Allow the cuff to sit for 5 minutes.
4. Wipe away any excess solution and rinse the cuff again
with distilled water. Allow 2 hours for drying.
The user has the responsibility to validate any deviations
from the recommended method of cleaning and disinfection.
For additional information on infection control procedures,
contact GE Medical Systems Information Technologies
Technical Support.
Temperature Devices
Do not immerse predictive temperature probes. The probe
may be cleaned with a solution of 10% bleach in water. Use
a cloth or sponge—just damp, not wet—and avoid getting any
liquid into the interior of the probe.
SpO 2 Sensors
Adhesive sensors are sterile and for single use only. Reusable
sensors should be cleaned before reuse with a 70% alcohol
solution. If low-level disinfection is required, use a 1:10
bleach solution. Do not use undiluted bleach (5% - 5.25%
sodium chlorite) or any cleaning solution other than those
recommended here because permanent damage to the
132

133
Appendix B
sensor could occur. Do not sterilize the sensor by irradiation,
steam, or ethylene oxide. If disposable sensors or their
packaging are damaged, they must be disposed of as advised
in this appendix.
To clean or disinfect the sensor:
1. Saturate a clean, dry gauze pad with the cleaning
solution. Wipe all surfaces of the sensor and cable with
this gauze pad.
2. Saturate another clean, dry gauze pad with sterile or
distilled water. Wipe all surfaces of the sensor and cable
with this gauze pad.
3. Dry the sensor and cable by wiping all surfaces with a
clean, dry gauze pad.
Storage and Battery Care
If it becomes necessary to store the Monitor for an extended
period of time, first fully charge then remove the battery.
Then store the Monitor and the battery in the original
packaging materials.
Batteries should always be fully charged before being placed
in storage. Even after 6 months of storage, a fully charged
battery can retain about 80% of its charge. A fully charged
battery in good condition will provide sufficient power to
operate a Monitor for approximately 2 hours, including
temperature and BP measurements made at 5-minute
intervals.
It is best to keep the battery charged as fully as practical and
never store the Monitor with the battery in a discharged
condition. When the battery will no longer hold a charge,
remove and replace it with one of the same part number.
Failure to replace the battery with the same GE Medical
Systems Information Technologies part number may result in
shorter battery life.
Battery charging will take place as long as the Monitor
remains connected to an external DC power source.

Cautions
• To ensure that the battery will be ready for portable
operation, keep the Monitor connected to a mains
supply whenever possible.
• Repeated failure to fully charge the battery will result in
a significant reduction in battery life.
• The expected lifetime of the battery largely depends on
the way in which the Monitor is used. If the battery is
allowed to completely discharge before being fully
recharged, the battery should survive around 700
charge/discharge cycles.
Replacement batteries may be obtained from GE Medical
Systems Information Technologies.
Note: The replacement part number of the battery is
633178CR. Do not use other types.
Fuses
The Monitor contains four fuses. The fuses are auto-resetable
and mounted within the Monitor. The fuses protect the low
voltage DC input, the battery, the remote alarm output, and
the +5 V output on the host port connector.
Calibration
Calibration of the BP parameter should be checked at least
once a year or when there is doubt about the validity of the
readings.
Leak Testing
A leak test of the BP parameter should be performed at least
once a year or when there is doubt about the validity of the
pressure readings.
Caution: Refer calibration and leak testing to qualified
service personnel. Full calibration details are available in
the DINAMAP ® ProCare Monitor Service Manual,
available from GE Medical Systems Information
Technologies.
134

135
Appendix B
Disposal of Product Waste
As you use the ProCare Monitor, you will accumulate solid
wastes that require proper disposal or recycling. These
include batteries, patient applied parts, and packaging
material.
Batteries
Caution: Do not incinerate batteries.
The sealed rechargeable battery contains lead and must be
recycled. Discharge this battery prior to disposal. Place the
battery in packaging which electrically isolates its contents.
Do not puncture or place the battery in a trash compactor.
Do not incinerate the battery or expose it to fire or high
temperatures. Recycle in accordance with applicable
regional body controlled guideline.
In the USA, call 1.800.SAV.LEAD for instructions on how to
recycle. For international users, contact your local authorities
on recycling. GE Medical Systems Information Technologies
encourages the recycling of lead-acid batteries.
Patient Applied Parts
Certain patient applied parts, such as those with adhesive
(disposable SpO 2 sensors), are intended for single use and
should be disposed of properly as medical waste in
accordance with regional body controlled guideline.
Other patient applied parts, such as blood pressure cuffs,
should be cleaned according to instructions. Inspect reusable
applied parts for wear, replace as necessary, and dispose of
used product as medical waste in accordance with regional
body controlled guideline.
Packaging Material
Retain original packaging materials for future use in storing
or shipping the Monitor and accessories. This
recommendation includes corrugated shippers and inserts.
Whenever possible recycle the packaging of accessories and
patient applied parts.

136

Appendix C:
Connection Details

138

Connection Details
Host Port Connector (rear panel)
139
Appendix C
WARNING! Auxiliary equipment connected to the
DINAMAP ® ProCare Monitor will result in the formation of
an electromedical system and thus, must comply with the
requirements of EN 60601-1-1/ IEC 601-1. All host port
signals are NON-ISOLATED and should be connected to
equipment conforming to IEC-601-1, configured to comply
with IEC 601-1-1 ONLY. Where isolation of data
communication is required, GE Medical Systems Information
Technologies part number ILC1926 should be used. If
external alarm control is required, GE Medical Systems
Information Technologies part number 487208 (Isolated
Remote Alarm Cable Assembly) should ALWAYS be used.
When a high-priority alarm condition is displayed on the
Monitor, the remote alarm signal becomes active within 0.5
seconds. The active state of the alarm signal is an open
circuit. In the inactive state the alarm signal is connected to
ground. Please refer to the Information Sheet included with
the isolated remote alarm cable for operational details.
Note: When using remote alarm, the ProCare Monitor should
be considered the primary alarm source. The secondary
alarm is used for secondary purposes only.
Pin # Function
1 Common
2 Inverted TTL Transmit Data
3 Inverted TTL Receive Data
4 +5 volts
5 No connection
6 No connection
7 Common
8 Remote Alarm
9 No connection
10 No connection

11 RS232 Transmit Data (TxD)
12 No connection
13 RS232 Receive Data (RxD)
14 No connection
15 No connection
140

Appendix D:
Warranty, Service,
& Spare Parts

142

143
Appendix D
Warranty, Service, and Spare Parts
Warning: There are no user serviceable parts inside the
DINAMAP ® ProCare Monitor. Refer all servicing to
qualified personnel.
Warranty
All repairs on products under warranty must be performed or
approved by GE Medical Systems Information Technologies.
Unauthorized repairs will void the warranty.
Products not covered by warranty should be repaired only
by qualified electronics service personnel.
Assistance and Parts
If the product malfunctions or if assistance, service, or spare
parts are required, contact GE Medical Systems Information
Technologies Technical Support.
Before contacting GE Medical Systems Information
Technologies it is helpful if you can duplicate the problem
and check and confirm the operation of all accessories to
ensure that they are not the cause of the problem.
When calling, please have the following information at hand:
• product name and model number and complete
description of the problem
• the serial number of your Monitor
• your name and address
• a purchase order number if out-of-warranty repairs or
spare parts are required
• your GE Medical Systems Information Technologies
account number, if applicable
• the part number(s) for spare or replacement parts

Repairs
If your product requires warranty, extended warranty, or
non-warranty repair service, call GE Medical Systems
Information Technologies and a representative will assist you.
To facilitate prompt service in cases where the product has
external chassis or case damage, please advise the
representative when you call.
The representative will record all necessary information and
will provide a Return Authorization Number. Prior to
returning any product for repair, a Return Authorization
Number must be obtained.
Packing Instructions
If you have to return goods for service, follow these
recommended packing instructions:
• Remove all hoses, cables, sensors, power cords, and
ancillary products from the Monitor before packing,
unless you suspect they are associated with the problem.
• Wherever possible use the original shipping carton and
packing materials.
• Observe the environmental conditions detailed in
Product Overview.
It is recommended that all returned goods be insured. Claims
for loss or damage to the product must be initiated by the
sender.
Service Manuals
Service Manuals containing calibration and repair
information can be ordered from GE Medical Systems
Information Technologies. These manuals also include
assembly drawings, and spare parts lists. The reorder number
of the Service Manual is 2009381-001.
144

Appendix E:
Reorder Codes

146

Reorder Codes
147
Appendix E
PROD
PRODUCT CODE ECAT
DINAMAP ProCare Monitor Operations Manual-English 2009360-001
DINAMAP ProCare Monitor Service Manual 2009381-001
Battery 633178CR
Power Convertor US 2009460-001
Power Convertor UK 2008538-001
Power Convertor EUR 2009539-001
Printer Paper (box of 10) 089100 E9050KP
DINAMAP Rolling Stand 003215 E9050JB
Pole Mounting Option 2009762-001
Wall Mounting Option 2009763-001
Hose Management Option 2009764-001
Bed Rail Option 2009765-001
Nurse Call 487208CR
NIBP:
Air Hose 12 ft Adult/Pediatric, Screw Connector 107365 E9050LH
Air Hose 24 ft Adult/Pediatric, Screw Connector 107366 E9050LJ
Air Hose 12 ft Neonatal 107368 E9050LK
CUFF Assortment Packs:
CLASSIC-CUF ® Assortment Pack 2692 E2692J
Includes: 1 each: Infant, Child, Small Adult, Adult, Large Adult, Thigh Cuff
CLASSIC-CUF ® Assortment Pack, Neonate 2693 E2693J
Includes: 2 Neo #1, 3 Neo #2, 5 Neo #3, 5 Neo #4, 5 Neo #5
SOFT-CUF ® Assortment Packs: 2695 E2695J
Includes: 1 Infant, 1 Child, 2 Small Adult, 2 Adult, 2 Large Adult,
1 Thigh, 1 Adult Long Cuff
SOFT-CUF ® Assortment, Neonate 2694 E2694J
Includes: 2 Neo #1, 3 Neo #2, 5 Neo #3, 5 Neo #4, 5 Neo #5
DURA-CUF ® Assortment Packs: 2699 E2699J
Includes: 1 each: Infant, Child, Small Adult, Adult, Large Adult, Thigh Cuff
DURA-CUF ® Assortment Pack, Adult 2698 E2698J
Includes: 1 each: Infant, Child, Small Adult, Adult, Large Adult, Thigh Cuff
DURA-CUF ® Assortment Pack, Child 2697 E2697J
Includes: 2 Infant, 3 Child, and 1 Small Adult Cuff
Additional Blood Pressure Cuff Codes are available through: www.gemedical.com
TEMPERATURE:
IVAC* Turbo Temp Oral Temperature Probe, Long Cord 2008774-001
IVAC* Turbo Temp Rectal Temperature Probe, Long Cord 2008775-001
IVAC* Temperature Probe Covers 615118 E9050KK
*IVAC is a trademark of Alaris Medical Systems

SPO2:
NELLCOR*:
Pulse Oximeter Cable DOC-10 2008773-001
DuraSensor Adult Oxygen Sensor DS100A
Masimo**:
Adult Reusable Sensor, 1/Bx (NR125) 2009745-001
Cable (PC08) 2009743-001
*NELLCOR is a trademark of Nellcor Puritan Bennett.
**Masimo is a trademark of Masimo Corporation
148

European Representative
GE Medical Systems
Information Technologies
GmbH
Postfach 60 02 65
D-79032 Freiburg,
Germany
Tel. +49 761 45 43 - 0
Fax +49 761 45 43 - 233
0086
2009360-001 B